Skip to Main Content View Text-Only

The City of Portland, Oregon

Community & Civic Life

Promote the common good

Main: 503-823-4519

City/County Info: 503-823-4000

TDD: 503-823-6868

1221 SW 4th Ave, Suite 110, Portland, OR 97204

Making A Difference Nomination Form

Making a Difference Awards 2014

Disability Program Logo

The City of Portland every year honors and recognizes individuals and groups who make a difference to the disability community in Portland.  The awards are presented each year at The Connecting Communities Annual Event.  Awards are given to organizations, individuals and projects that best exemplify the theme of the event.  The 2014 theme is: Abilities in Motion – recognizing the many recreational opportunities available to find health, fun and fitness for people living with disabilities in Portland.


 How do I nominate?

  1. Fill in the information below for the organization, business, individual or youth who you feel deserves this recognition. 
  2. Attach a separate sheet with 1-2 pages explaining how the nominee makes a difference in the lives of people with disabilities through providing, promoting, inspiring, creating, participating and encouraging inclusive recreational opportunities.


Name of Nominee: ______________________________________  Phone: ____________________

Complete Address: _________________________________________________________________

Email Address: ____________________________________________________________________

Organization/Business Name (if applicable): ­­­­­­­­­­­­­­­­­_____________________________________________


Deadline for submitting nominations is, September 1, 2014.


Send completed nomination forms and/or request a large format or electronic version the Making a Difference nomination to, Office of Neighborhood Involvement, 1221 SW 4th Avenue, Room 110, Portland, Oregon 97204. Or fax: 503-823-3050. Email:

TTY 503-823-6868.


 Questions and accommodations?  Call 503-823-9970

Please feel free to copy and distribute this form.

Online Nomination Form

Complete online form to nominate someone for a Making A Difference Award

Printable Making A Difference Form

printable word file of the 2014 Making A Difference Nomination form