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Civil Rights and Social Justice Awards Nomination Form

Please correct the field(s) marked in red below:

To nominate a candidate please fill out the form below. You may also wish to submit a letter of recommendation for your nominee.

1

Information about you (the Nominator):

Information about you (the Nominator):
2

Information about the Nominee:

Information about the Nominee:
3

Nomination Category:

Nomination Category:
4

How has this candidate made an overall impact on civil rights and social justice?

5
Has this work been a part of their employment or as a volunteer? Please explain.
6
How have public opinions/attitudes been impacted by this work?
7

What life experiences do they have that have helped them be an example leader in this effort?

8

How does this candidate demonstrate an attitude of respect for human dignity of all people?

9

Has the Nominee been previously nominated?

Has the Nominee been previously nominated?
10
Has the Nominee been previously selected as a winner?
Has the Nominee been previously selected as a winner?
11
What year was the last nomination or winner selection?
12

References for the Nominee:

References for the Nominee:
  1. To receive a copy of your submission, please fill out your email address below and submit.
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