Salem County’s 2023 Crusader Award

Do you know a person, business or organization that is a champion in serving Salem County residents who have special needs/ disABILITIES? Nominate them for the 2023 Crusader Award!

Please submit the form below together with a detailed statement describing the nominee’s contribution in serving the special needs population within the County of Salem.

For agencies or organizations include building accessibility, or employment of persons with disabilities and any special equipment or services provided.
For individuals include names of organizations for which the nominee provided leadership, dedication or service, and length of service.
Please attach any supporting information, such as newspaper articles, other awards, testimonials, or historical data.

If you prefer to fill the form out by hand, feel free to print the Crusader Award Nomination Form (Download the PDF) and send to or mail to: Salem County Office on Aging and Disabilities – 110 Fifth St. Salem, NJ 08079

Name Of Nominee(Required)

Address(Required)

Contact Person (if business or organization)

Home or Cell Phone(Required)

Business / Work Phone

Nominator’s Name(Required)

Title and Organization (if applicable)

Address(Required)

Phone(Required)

What is your connection (if any) with the nominee?(Required)

Please attach any supporting documents such as Word Documents, PDF's, Pictures, etc.

Drop files here or

Max. file size: 1 MB, Max. files: 6.

If the file size or number of files exceeds what is listed above please send them directly to .

Signature(Required)

Date(Required)

Phone

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