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Use this form to nominate an individual or group who has worked to forward equity issues in the community. Note: Winners are selected based upon the strength and merit of the submission received.​​ All information is required.


Winners will be awarded in each category and are selected based upon the the strength and merit of the submission received.​​

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* 1. Nominator's Name 

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* 2. Nominator's Email Address

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* 3. Nominee's Name

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* 4. Nominee's Email Address

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* 5. Nominee's Phone Number

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* 6. Relationship Between Nominator and Nominee:

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* 7. Is the nomination being submitted as an individual or group?

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* 8. Why do you believe the nominee embodies the award category you have selected? (As previously stated, winners are selected based upon the strength and merit of the submission received.​​ Please provide ample information in this section of the nomination. We recommend between 300-500 words.) 

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* 9. How did the nominee work to forward equity issues in the past year? (Please be as descriptive and thorough as possible.)

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* 10. Do you affirm that you have read and understood the awards rules, and answered this form truthfully to the best of y our ability?

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