Self Advocate Spotlight

Celebrating individuals who speak up, lead by example, and grow through self advocacy.

1. Speaking Up for Yourself

Clearly communicates wants, needs, or boundaries
Asks for help, resources, or clarification when needed

2. Taking Initiative

Actively participates in programming or discussions
Sets personal goals and takes steps toward achieving them

3. Empowering Others

Encourages peers to speak for themselves or get involved
Supports an inclusive and respectful environment

4. Personal Growth & Resilience

Demonstrates progress towards independence or goals
Learn from experiences and/or setbacks

5. Community Engagement

Participates in group projects, community events, etc.
Acts as a positive model during drop in hours and/or at events

Nomination form

If selected, the nominee will be interviewed for an “About Me” feature, which will be shared in our newsletter and displayed in the office.

Note: You must be a current, dues paying Arc member to be eligible for nomination. All questions on the form must be completed. Final selections will be made by Arc staff.

* Indicates required field

Who are you nominating? *

First

Last

Phone Number *

Email *

In 3 or 4 sentences, tell us about the nominee. What are they like? Share any hobbies, interests, traits, etc. *

Why are you nominating them? What did they do that shows self advocacy, leadership, or growth? *

What is something they have accomplished in the last year? *

Upload a photo of the nominee (Optional) *

Max file size: 20MB

By clicking submit, I grant The Arc Susquehanna Valley, its representatives, and employees the right to photograph me and my property. I authorize the organization and its designees to copyright, use, and publish these images in print and/or digital formats. I understand that these photographs may be used, with or without my name, for any lawful purpose, including publicity, illustration, advertising, and web content.

Submit