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The Accessibility Innovation Initiatives
Chairman's AAA Nomination Form
NOTE: All fields marked with a red asterisk
*
must be filled in.
Rules Summary: The Chairman’s Awards for Advancement in Accessibility are accepted from anyone in the world. Contacts and Nominees should be at least the age of sixteen (16) by the date of application. Anyone can nominate themselves or another person/organization for an innovation that occurred between July 19, 2010 and May 1, 2011. The innovation does not have to be market-ready for submission. The innovation could be, to name a few, apps, software, accessibility features, assistive technology, processes or programs that produce more accessible technology, media that may result in more accessible technology, technology transfer that produces more accessible technology, etc. Individuals may not be nominated for a lifetime’s work. Contacts/Nominators and Nominees may submit as many innovations as they see fit. Please see the blog about the Chairman's AAA at
http://blog.broadband.gov/?entryId=967886
.
Contact/Nominator Information (any party that nominates another entity or itself for the Chairman’s AAA):
First Name:
*
Last Name:
*
Organization:
*
Title:
*
Work Phone Number:
*
Home Phone Number:
*
Fax Number:
Cell Phone number:
E-mail Address:
*
Address 1:
*
Address 2:
City:
*
State:
*
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HI
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Zip:
*
Country:
*
If country is not USA, please:
Enter the foreign state at the end of the city name
Do not select a state from the state pull-down box
Enter the foreign zip code in the zip code box
Enter the foreign country in the country box
Nominee Contact Information (the party that has demonstrated a significant contribution towards accessibility and innovation):
First Name:
*
Last Name:
*
Organization:
*
Title:
*
Work Phone Number:
*
Home Phone Number:
*
Fax Number:
Cell Phone number:
E-mail Address:
*
Address 1:
*
Address 2:
City:
*
State:
*
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
VI
WA
WV
WI
WY
Zip:
*
Country:
*
If country is not USA, please:
Enter the foreign state at the end of the city name
Do not select a state from the state pull-down box
Enter the foreign zip code in the zip code box
Enter the foreign country in the country box
Other Information:
Description of Innovation: Please describe, in detail, the innovation being nominated and the stage of development. For example, but not limited to, development of standards, teaching materials, processes, apps, and/or hardware/software.
*
There are
characters remaining for the above textbox.
Describe why this innovation merits winning the Chairman’s Award for Advancement in Accessibility, and how this innovation has advanced accessibility in technology.
*
There are
characters remaining for the above textbox.
Optional: Please provide any additional information, such as a URL.
There are
characters remaining for the above textbox.
last reviewed/updated on 4-13-11
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