PDF Are you inspired by someone who is care partner to a person ...

Are you inspired by someone who is care partner to a person with Parkinson's Disease?

NOMINATE THAT PERSON! The Parkinson's

Foundation Minnesota will recognize a care partner to a person with Parkinson's this November during National Caregivers Month.

DEADLINE: May 7, 2018

NOMINATION TIPS

? Write your care partner's inspiring story to touch the hearts of readers.

? Describe your care partner's life since learning of the Parkinson's diagnosis and he/she is a role model for active involvement in the Parkinson's community.

? Be detailed & use complete sentences; your story is the only basis for selection; it will be used for the inductee's page in the program.

? Include length of time involved.

? optional - Enhance nomination with letters of support from others (maximum of 3)

ELIGIBILITY

? Available for a professional video profile in June and July.

? Willing to accept the honor on stage in the ceremony on Thursday, November 8, 2018.

EXAMPLES OF RECOGNIZED EFFORTS

Volunteering; leadership in organizations; church activities; community service; awards / honors; helping hand to neighbors; special achievements; Individuals are selected for their efforts in a variety of areas. No specific area or example is preferred or required.

QUESTIONS?

Call the Parkinson's Foundation Minnesota at 763/545-1272 with questions.

EASY NOMINATION PROCESS

Submit an electronic nomination: first, download the PDF nomination form from Minnesota to your computer desktop; type directly on the PDF form, save the file on your computer; then return it as an e-mail attachment to minnesotainfo@

OR, print and complete a 'paper' nomination form. Mail it to:

Parkinson's Foundation Minnesota 8085 Wayzata Blvd, #100 Golden Valley, MN 55426

DEADLINE May 7, 2018

2018 CARE PARTNER NOMINATION

1) Care Partner's Name(s):

2) Address:

(city)

3) County: 4) Phone: 5) E-mail: 6) Age(s):

(zip)

male

female

8) Nominated by:

a group, or

an individual

9) Nominator's Name (group or individual):

Contact if group: 10) Address:

(city)

(zip)

11) Phone:

12) E-mail:

7) In 600 words, please share your care partner's inspiring story by answering the question "Why does this individual deserve recognition?" (type below or submit a separate document)

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