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A Capital Campaign for the RECREATION COMPLEX

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2025 Spectrum Award

2025 Spectrum Award

Is the person you are nominating a resident of the U.S. or Canada?

Yes

No

Is the person you are nominating 18 years of age or older?

Yes

No

Do you have consent to nominate this individual?

Yes

No

Nominee Information

Nominator's Name(Required)

First Last

Nominator's Email Address:(Required)

Nominator's Phone Number:(Required)

Nominee Name(Required)

First Last

Nominee’s Email Address:(Required)

Nominee’s Phone Number:(Required)

Nominee’s Website, if applicable:

Nominee’s Instagram, if applicable:

Nominee’s Facebook, if applicable:

Nominee’s LinkedIn, if applicable:

Nominee’s X, if applicable:

Nominee’s TikTok, if applicable:

Nomination Questions:

What is your relationship to the nominee? (Select one)(Required)

Family Member

Friend

Colleague

Mentor/Coach

Community Member

Other

In what role(s) or areas has the nominee excelled? (Select all that apply)(Required)

Advocacy

Employment/Career Success

Community Involvement

Leadership

Arts and Creativity

Education

Why is the nominee's activity, contribution, or achievement worthy of recognition? (Select one)(Required)

They have significantly impacted their field or community.

They have inspired others through their actions.

They have overcome exceptional challenges.

Their work has led to tangible change or improvements.

Other

What impact has the nominee’s contribution had on the autism community? (Select all that apply)(Required)

Increased awareness and understanding

Created opportunities for others on the spectrum

Provided mentorship or leadership

Developed resources or programs

Inspired change through personal achievements

What challenges has the nominee had to overcome? (Select all that apply)(Required)

Educational barriers

Employment obstacles

Social challenges

Access to services and resources

Personal or health-related difficulties

Over what period has the nominee made a contribution? (Select one)(Required)

Less than 1 year

1–3 years

3–5 years

More than 5 years

Communication & Support Needs

What is the nominee's primary mode of communication? (Select all that apply)(Required)

Speaking

Non-speaking

Minimally speaking

Moderately speaking

AAC user

Gestures/sign language

If the nominee uses AAC, what type do they primarily use? (Select one)(Required)

Dedicated speech-generating device (SGD)

Tablet or app-based AAC

Picture Exchange Communication System (PECS)

Letterboard/spelling board

Gestures/sign language

Other

What level of communication support is needed for the nominee? (Select one)(Required)

No additional support needed

Occasional prompting or clarification

Frequent prompting, support in unfamiliar settings

Full-time support for communication exchanges

Adaptive & Independent Functioning

What level of support is needed for the nominee’s daily living activities (e.g., dressing, personal care, meals)? (Select one)(Required)

Independent

Occasional reminders or guidance

Frequent support while participating

Full assistance required

What level of support is needed for the nominee’s travel and navigation? (Select one)(Required)

Can navigate independently

Needs occasional support with directions, transitions

Needs full-time support in unfamiliar environments/familiar environments

Requires constant 1:1 support and supervision

What level of support is needed for managing the nominee’s sensory needs? (Select one)(Required)

Manages sensory needs independently

May require occasional accommodations (e.g., noise-canceling headphones, light sensitivity glasses, quiet area)

Requires frequent support and accommodations

Requires full-time assistance to regulate sensory input

Social Skills & Interaction

What level of support is needed for the nominee’s social interactions? (Select one)(Required)

No support needed

Occasional prompting or assistance

Frequent support in initiating/maintaining interactions

Full-time support needed in social situations

How does the nominee typically respond to unfamiliar people or environments? (Select one)(Required)

Comfortable and adjusts independently

May need brief time to adjust but adapts well

Requires structured support to navigate new situations

Requires full-time support to engage in new environments

Support Ratio & Assistance Needs

What is the recommended ratio of support to nominee during travel and event attendance? (Select one)(Required)

Independent (no additional support required)

1:3 (1 staff per 3+ individuals)

1:2 (1 staff per 2 individuals)

1:1 (full-time individual support)

More than 1:1 support required

Are there any additional considerations or accommodations that should be in place during travel and the event? (500-word limit)(Required)

Share specific examples of your nominee’s activity, contribution, or achievement. (500-word limit)(Required)

The Els for Autism global mission is to transform the lives of people with autism and those who care for them through lifetime services and collaborative partnerships.
Where possibilities are endless.

Els for Autism is a US public charity (EIN #26-3520396)

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Copyright 2025 Els for Autism Foundation. The Els Center of Excellence, Ernie Els #GameON Autism, Els for Autism, Els for Autism Foundation and Ernie Els Els for Autism + Flag device are trademarks of Blue Ocean Trademarks NV. The contents of this website are copyright works. All Rights Reserved.

CONTACT ELS FOR AUTISM

General Inquiries
561-598-6200
info@elsforautism.org

Copyright 2025 Els for Autism Foundation. The Els Center of Excellence, Ernie Els #GameON Autism, Els for Autism, Els for Autism Foundation and Ernie Els Els for Autism + Flag device are trademarks of Blue Ocean Trademarks NV. The contents of this website are copyright works. All Rights Reserved.

CONTACT ELS FOR AUTISM

General Inquiries
561-598-6200
info@elsforautism.org

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