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Call for Nominations

2017 Night of Independence Awards Nomination Form


Award Categories:

  • Individual Award:  Recognizes an individual who has been a champion of people with disabilities through their actions or involvement in organizations, events and their community.
  • Corporate/Organization Award:  Recognizes a business or organization for outstanding accomplishments in increasing the quality of life and promotion of inclusion of people with disabilities in their community.
  • Civic Leader Award:  Recognizes an individual or organization which inspires others to make a difference by engaging with elected officials and key stakeholders in discussions to promote policies that support the mission of The Whole Person and independent living for people with disabilities.
  • Volunteer of the Year Award:  Recognizes an individual who has contributed volunteer hours/service at an extraordinary level of dedication.
  • Organization/Corporate Volunteer Group of the Year Award:  Recognizes an organization or corporate group who have contributed volunteer hours/service at an extraordinary level of dedication.
  • Paul H. Levy Founders Award:  Named for the founder of The Whole Person, this award recognizes an individual who, through their life’s work, has been a tireless advocate for people with disabilities in the Kansas City metropolitan area. This individual embodies a passion to continue the work of Paul H. Levy in the civil rights movement of the independent living philosophy, a self-help model of advocacy and service by and for people of all disabilities.

The deadline for nominations is Wednesday, May 31, 2017.

It is preferred that your nomination be submitted electronically (using form below).

Nominations may also be mailed, faxed or emailed (See PDF Flyer and Form link below) on or before the deadline.

  1. By mail to:  The Whole Person, Attn: Terri Goddard, 3710 Main Street, Kansas City, MO 64111
  2. By email to: tgoddard@thewholeperson.org
  3. By fax to: 816-931-0529 (please send an email to tgoddard@thewholeperson.org telling her you are faxing prior to sending)

Please forward any questions about the awards nomination procedure to tgoddard@thewholeperson.org.



Nomination Supporting Statement and Pertinent Information Documents:

  • Please prepare your statement supporting your nomination and pertinent information document, and save the file(s) on your computer.
  • Click on the "Browse" button below to locate the file(s) for upload. Files uploaded may be submitted as Word or PDF files.
  • Please be sure to click the "Submit" key below to submit your nomination.
Night of Independence Gala Awards Nomination
PICK ONE per Nominee
If an organization/business, list organization/business name
Include City, State and Zip Code
Please include Area Code
If yes, please describe relationship (current or past relationship)
Include City, State and Zip Code
Please include Area Code
Please upload a Word or PDF file only
Please upload a Word or PDF file only
(Email, Facebook, Twitter, from a friend, co-worker, organization, etc.)