Fillable YesICanApp2018 Regional CSPD YES I Can Award Nomination

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YesICanApp2018 Regional CSPD YES I Can Award Nomination

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Yes I Can! Region III 2018 Award Nomination
The Yes I Can! International Awards Program was established in 1981 to celebrate the
achievements of children and youth with disabilities; to encourage children and youth with
disabilities to seek their highest potential; and to increase public awareness of the abilities,
aspirations, and personal qualities of people with disabilities.
Each year children and youth (ages 2-21) with disabilities are recognized for their
accomplishments through the Yes I Can! International Awards Program. The state of Montana
also recognizes one student from each of the five CSPD Regions. Region III includes: Big Horn,
Carbon, Fergus, Golden Valley, Judith Basin, Musselshell, Petroleum, Stillwater, Sweet Grass,
Wheatland, and Yellowstone counties. Winners will be recognized at the Montana Council for
Exceptional Children Conference Awards Banquet in Missoula, Montana on March 1, 2018.
Winners from each region will be invited to submit further nominations to the International CEC
Conference in the upcoming year. Yes I Can! Awards nominations will be accepted in the
following categories:
Academics
Achievement in a particular subject area such as math, science, reading, social studies, language
arts, foreign languages, etc. or a high level of achievement on standardized tests, etc.
Arts
Achievement in a particular medium such as music, art, drama, dance, or written expression, etc.
Athletics
Achievement in motor skills or a particular athletic activity through a setting such as
intramurals, Special Olympics, physical education classes, or after-school athletic activities.
Community Service
Contributions to the community through activities such as volunteer work, youth work, clean-up
campaigns, etc.
Employment
Achievement through work experience in either workshop settings or the competitive job
market.
Extracurricular Activity
Achievement in organized activities through groups such as Boy/Girl Scouts, church, clubs, or
other activities.
Independent Living Skills
Achievement in mastering activities for daily self-efficiency such as personal hygiene, cooking,
dressing, use of public transportation, etc.
Technology
Significant achievement through the use of computerized devices and equipment.
Self-Advocacy
Achievement in assuming practical responsibility for oneself, using knowledge of legal rights,
advancing one’s goals, and/or effective in obtaining appropriate accommodations for oneself.
Yes I Can! Region III 2018 Award Nomination Form
Person submitting nomination Title
Affiliation
Address
City Zip E-mail
Telephone (work) (home)
Fax
Signature of person submitting nomination
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Nomination of
Address
City Zip
Birth date Age Disability
Parent/ guardian responsible (full name)
Phone number for above E-mail
Nominee’s school name
School address
Principal’s name
School E-mail Fax
Area of achievement (choose one)
Academics Community Service Extra Curricular Activity
Arts Employment Independent Living Skills
Athletics Technology Self Advocacy
Application deadline- December 15, 2017
Submit to: Debra Miller Region III CSPD MSUB/MCIE 1500 University Drive Billings, MT
59101 Fax (406) 657-2313 Phone (406) 657-2072 dmiller@msubillings.edu
www.msubillings.edu/cspd
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Please describe the student’s achievement and accomplishments in 100 words or less. You can add
appendices that show examples of the achievement.
Please include two letters of support from professionals in education (teachers, principals,
school administrators, counselors).
Second letter of support from professionals in education (teachers, principals, school
administrators, counselors).
Letter of support from a parent, guardian, or party responsible to the nominee.
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YesICanApp2018 Regional CSPD YES I Can Award Nomination

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Completed 17 April 2020

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