(a) Seven years or more of continuous active membership?Step 2. If a candidate is eligible based on positive responses in Step 1, the merit of his or her
Yes _____ No_____
(b) Significant contributions to the professional or business affairs of AAIDD?
Yes _____ No_____
|
Category |
N/A |
|
|
Significant |
|
Outstanding |
Total |
|
1. Administration |
0 |
1 |
2 |
3 |
4 |
5 |
|
|
2. Advocacy |
0 |
1 |
2 |
3 |
4 |
5 |
|
|
3. Leadership |
0 |
1 |
2 |
3 |
4 |
5 |
|
|
4. Program Development |
0 |
1 |
2 |
3 |
4 |
5 |
|
|
5. Provision of Services |
0 |
1 |
2 |
3 |
4 |
5 |
|
|
6. Public Policy |
0 |
1 |
2 |
3 |
4 |
5 |
|
|
7. Publications/Presentations |
0 |
1 |
2 |
3 |
4 |
5 |
|
|
8. Research |
0 |
1 |
2 |
3 |
4 |
5 |
|
|
9. Teaching |
0 |
1 |
2 |
3 |
4 |
5 |
|
|
Total for Three Highest Rated Categories |
| ||||||
|
Total for All Nine Categories |
| ||||||