The NYS Disability Rights Hall of Fame was created to recognize the contributions of people with disabilities whose lifelong work has substantially taken place in New York State. NYSILC will induct peers who have made a positive impact on people with disabilities throughout the state, country, and/or internationally.
 
All contributions should support the concepts of consumer control, peer support, self-help, self-determination, equal access, and individual and systems advocacy to maximize the leadership, empowerment, independence, productivity, integration, and full inclusion of individuals with disabilities into the mainstream of American society.
 
The form will be available until November 15, 2021. If you previously nominated someone who was not inducted, please feel free to nominate them again. Resubmission does not guarantee induction.  
 
This year we are limiting the class to 3-5 inductees, so make your nomination count!

Name of Nominee*
Address
City
State
Postal Code
PhoneWith Area Code
Email
Group Affiliations
Name*
Address*
City*
State*
Postal Code*
Phone*With Area Code
Email*
Please expand on your choices for the previous question (how did they improve quality of life? What barriers did they eliminate? Etc)*
How long has the candidate been an advocate?*
Describe the candidate's transition from advocate to leader/mentor. How did this influence others in the community?*
What led this person to pursue a life of advocacy?*
What is this person’s greatest accomplishment for the disability community?*
Please provide two references: Name*
Organization
Phone
Email
Name*
Organization
Phone
Email
Add anything else you would like to say about the candidate in the space below.
Submit