Newton Human Rights Award Nomination Form

To be eligible for nomination, entrants must have made a significant contribution to the promotion and protection of human rights locally and been active in this area for a number of years. Examples could include:

-Taking action to overcome discrimination or infringements of human rights within Newton
-Encouraging greater social harmony in a range of areas such as race relations, gender equality, and the treatment of children and young people
-Enhancing the rights of a specific population
-Promoting equal opportunity for people with a disability or countering discrimination on the basis of age or sexuality
-Increasing awareness of issues of injustice or inequality

Please note: by entering the Human Rights Awards the nominee agrees that details of the nomination and of the supporting materials could be published in publicity materials for the Human Rights Awards.

All submissions are due by November 8, 2019.

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* 1. Name of Person Nominating

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* 2. Relationship to the nominee

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* 3. Your address

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* 4. Your telephone number

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* 5. Your email address

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* 6. Name of nominee

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* 7. Nominee's address

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* 8. Nominee's telephone number

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* 9. Nominee's email address

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* 10. Tell us about the person or organization you are nominating.

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* 11. How has this person contributed to the promotion and protection of human rights?

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* 12. If applicable, you may attach relevant supporting documentation such as news articles, biographies, curriculum vitae (up to five pages), evidence of campaigns or work of the nominee, references, contact details of any referees, and up to three letters of support.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

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