1

Please select the award you are submitting a nomination for.

 *

Please select the award you are submitting a nomination for.(Select an Answer) Olathe Human Relations Commission Business Person Award Olathe Human Relations Commission Chairman's Award Olathe Human Relations Commission Educator Award Olathe Human Relations Commission Humanitarian Award Olathe Human Relations Commission Organization Award Olathe Human Relations Commission Youth Award Persons with Disabilities Accessible Community Award

2

Tell us about your nominee for an Olathe Community Award.

 *

Tell us about your nominee for an Olathe Community Award.

First Name	Last Name
Street Address	City
State	Zip
Home Phoneext.	Work Phoneext.
Mobile Phoneext.	Email
Your relationship to the nominee	Nominee's Achievements
Nominee's Impact	Nominee's Other Attributes

3

Tell us about yourself.

 *

Tell us about yourself.

First Name	Last Name	Street Address
City	State	Zip
Home Phoneext.	Work Phoneext.	Mobile Phoneext.
Email

4

Acknowledgement

 *

I submit this nomination to the Olathe Human Relations Commission and the Persons with Disabilities Advisory Board. The information provided is accurate and complete to the best of my knowledge.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

Page 1 / 1