Please complete the information below. If you have not already, please review the full rules and regulations along with required supporting documents needed to complete the application.

Questions? Reach out to us: awards@seniainternational.org

SENIA Student Award

Nominee Information

Nominee's Full Name. *

To be written on certificate and other materials

Nominee's Email

Optional

Country of Residence (currently living in)

Nominee's Date of Birth *

Nominee's Grade *

Parent's Full Name

If applicable

Parent's Email

If applicable

Name of Current School Attending

If applicable

Principal's Name

Nominator's Information

Nominator's Full Name *

Email Address *

Are You a SENIA Member?

Yes

SENIA membership is not required

Short Description of How You Know the Person You Are Nominating *

Describe in 150 words or less the challenges this student encountered prior to his or her current accomplishments (e.g., difficulty with reading). *

Describe in 150 words or less the current type of special education services provided to the nominee (e.g., general education class with learning support, inclusion, special education classes). *

Describe in 150 words or less the student 's achievements and accomplishments in relation to advocacy and awareness of special education issues in their community. You can add appendices demonstrating examples of the student 's achievement. *

Describe the setting in which the accomplishments occurred (i.e., home, school, community, work). *

Describe in 150 words or less the impact of the student 's accomplishments on him- or herself and others. *

Documents to Upload

Letter of Recommendation 1 *

Maximum file size: 516MB

Letter of Recommendation 2 *

Maximum file size: 516MB

Personal Response *

Maximum file size: 516MB

Please answer one of the following (in any medium): 1 - What inspires or motivates you to advocate for yourself and/or your peers with special education needs? OR 2) What do you hope to achieve by advocating for yourself and/or your peers with special education needs?

Photo of the Nominee (to be used in SENIA publishings) *

Maximum file size: 516MB

If you are human, leave this field blank.

Nominee Information

Nominator's Information

Documents to Upload

Guidestar

Upcoming Events

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