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PEACE Values Recognition Form

Peace Values

Positivity | Encouragement | Advocacy | Compassion | Equality

"*" indicates required fields

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1. Nominee Information

Nominee Information radio buttons*

Staff Member

Individual Supported

Volunteer/Partner

Other

Other*

Name of Person Being Recognized (First and Last)*

Program/Location*

ISL

Day Program

Office/Administration

Date of Recognition*

MM/DD/YYYY

2. Nominated By

Your First and Last Name*

Your Role*

Staff

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Family/Guardian

Supervisor

Other

Other*

3. PEACE Value Demonstrated

Check one main value (you may check more than one if needed)*

P — Positivity (uplifting, supportive interactions)

E — Encouragement (supporting independence and celebrating progress)

A — Advocacy (protecting rights, speaking up, ensuring fair treatment)

C — Compassion (empathy, patience, understanding)

E — Equality (fairness, inclusion, equal opportunities)

4. What Happened?

Please describe what the nominee did that showed the PEACE value(s). (Who? What? When? Where? How?)*

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816.988.8316 920 SW 37th Street Blue Springs, MO 64015 (opens in new tab)

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Sat - Sun: Closed

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