AARON AWARD

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Annually, the Christian Council on Persons with Disabilties honors an individual who has recognized an unmet ministry need within the disability community and then worked tirelessly and compassionately to see it filled.

Now’s your chance to shine the spotlight of gratitude on someone who has accomplished what “couldn’t be done” or blazed a new trail for others to follow. Fill in the information requested, and mail this form to:

CCPD

ATTN: Executive Director

1100 West 42^nd Street, Suite 223

Indianapolis, IN 46208

(317) 923-CCPD

Name of Vision Award Nominee: ________________________________________________________

Their Address: ___________________________________________________________ ___________

City/State/Zip: ________________________________________________________________________

Their Phone: ( )___________________________ Email: __________________________________

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Your Name: __________________________________________________________________________

Your Address: ________________________________________________________________________

City/State/Zip: _________________________________________________________________________

Your Phone: ( )__________________________ Email: ___________________________________

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Name of the Disability Ministry they impacted:________________________________________________

Address: _____________________________________________________________________________

City/State/Zip: _________________________________________________________________________

Phone: _____________________________________ Email:____________________________________

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On the reverse side of this page, please give detailed information as to why you are nominating

this individual. Please include the number of years they have been involved with the project or ministry and any relevant documentation. Thank you!