2023 Willard M. McRae Community Diversity Award Nomination Form

Liberty Bank invites you to submit a nomination for the 2023 Willard M. McRae Community Diversity Award. This award is presented to honor an organization that is focused on achieving equity and social and economic mobility for historically marginalized groups or economically disenfranchised individuals with a vision towards creating vibrant and inclusive communities.

Criteria by which nominees will be evaluated include:

Exemplary contribution to celebrating, promoting, and increasing awareness of diversity, equity, and inclusion in our communities
Extraordinary participation over an extended period of time in activities that provide access and opportunity to historically marginalized or economically disenfranchised individuals
Significant impact on building of relationships between different people--whether their differences be of race, ethnic background, disability, religion, gender, sexual preference, national origin, economic status, or any other aspect of diversity

If you have any questions as you're completing the form, please contact Toral Maher at tmaher@liberty-bank.com or (860) 638-2961. Thank you for your nomination!

Question Title

* 1. Name of Organization

Question Title

* 2. Contact at Organization (First and Last Name)

Question Title

* 3. Provide a brief description of the organization being nominated, including the mission statement.

Question Title

* 4. Describe three activities the organization is engaged in that are focused on increasing awareness, understanding or promoting diversity, equity and inclusion in our communities.

Question Title

* 5. Describe the impact these efforts have had on increasing awareness and understanding of diversity, equity and inclusion as a strength in our community.

Question Title

* 6. List any of the organization's honors and awards that demonstrate recognition of the organization's achievements.

Question Title

* 7. Please provide any additional information you feel would be helpful to the selection committee.

Question Title

* 8. Contact Information

Nominator (First, Last)

Phone Number

Email Address

Street Address

City

State

Zip