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MDSC Media Award Nomination Form

The Media Award is given to a person or company who exemplifies the MDSC mission to disseminate up-to-date information about Down syndrome.

Your Information:

First Name required fieldLast Name required field

Street Address required field

City required field State required field Zip Code required field

Email Address required fieldPhone Number

Nominee's Information:

First Name required field Last Name required field

Street Address

City State required field Zip Code required field

Email Address Phone Number

Nominating letters should include specific examples rather than general statements about the person or company.  Please submit a letter of nomination, not to exceed two pages, answering the following questions:   

  • Please describe the advertisement, media message, news article, or television program.
  • What positive message about Down syndrome did the media convey?
  • When, where, and for how long was this message conveyed?
  • Who was the target audience for this media message?

Attach Nomination Letter required field

Allowed extensions: doc,pdf,txt,wpd,zip,
Maximum Filesize: 524288 bytes

required field = Required


Nominations may also be sent by mail to: MDSC Nominations, 20 Burlington Mall Road, Suite 261, Burlington, MA 01803. Nominations by mail should be postmarked no later than February 1.  Click here to download Media Award Nomination Form.