2021 HOCO Human Rights Commission Award Nomination Form

Every year, the Howard County Human Rights Commission honors individuals and organizations who have made significant contributions to human and civil rights in Howard County.

The awards recognize exemplary achievement in eliminating or eradicating discrimination while advancing human rights for all residents of Howard County. These consist of Individual Awards, Student Awards (up to 25 years old) and, Organization Awards.

The nomination deadline is August 15, 2021.

For more information or to obtain a hard copy of the application:

Contact Fatina Jackson (410) 313-6430 or via e-mail at: hrc@howardcountymd.gov

Nomination Submission:

Please answer each of the questions below. Self-nominations are accepted.

Question Title

* 1. This nomination is for the following award (select one):

Individual

Student

Organization

Question Title

* 2. Please provide YOUR NAME and contact information.

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

Question Title

* 3. Please provide the name and contact information of the NOMINEE. (Person or Organization receiving the award)

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

Question Title

* 4. How long have you known the Nominee?

Question Title

* 5. The Human Rights Commission Awards Ceremony will be held on October 19, 2021, at 6:30 p.m. at the Howard County Conservancy, located at 10520 Old Frederick Road, Woodstock, Maryland 21163.

Can the Nominee attend the award ceremony?

Yes

2021 HOCO Human Rights Commission Award Nomination Form

Question Title

* 1. This nomination is for the following award (select one):

Question Title

* 2. Please provide YOUR NAME and contact information.

Question Title

* 3. Please provide the name and contact information of the NOMINEE. (Person or Organization receiving the award)

Question Title

* 4. How long have you known the Nominee?

Question Title

* 5. The Human Rights Commission Awards Ceremony will be held on October 19, 2021, at 6:30 p.m. at the Howard County Conservancy, located at 10520 Old Frederick Road, Woodstock, Maryland 21163. Can the Nominee attend the award ceremony?

Question Title

* 6. In 300 words or less, please explain why the Nominee should receive this award.

* 5. The Human Rights Commission Awards Ceremony will be held on October 19, 2021, at 6:30 p.m. at the Howard County Conservancy, located at 10520 Old Frederick Road, Woodstock, Maryland 21163.

Can the Nominee attend the award ceremony?