YWCA Racial Justice Award Nomination Form

YWCA Racial Justice Award (Nominations Due Dec. 18, 2019)

The Racial Justice Award recognizes an individual that actively strives to eliminate racism and promote racial equality. The recipient will be announced at the MLK Commemoration event on January 11 from 3-5 p.m. at Blackhawk Technical College.

Nominee's Name*
Nominee's Business or Organization
Nominee's Phone Number*
Nominee's Email*
Nominee's Home Address
Street Address Address Line 2 City State ZIP Code
Please tell us why you believe the candidate should be considered for the YWCA Racial Justice Award.
How have the nominee's actions and achievements in the past 2-3 years demonstrated leadership toward eliminating racism?*
In which ways have the nominee's life and work exhibited significant involvement in the struggle for peace, justice, freedom and dignity for all people?*
Please describe the ways in which the nominee has demonstrated commitment to social change for all people and a force for dismantling racism locally.*
Tell us about yourself:
Nominator's Name*
Phone Number*
Email*

YWCA Racial Justice Award Nomination Form

YWCA Racial Justice Award (Nominations Due Dec. 18, 2019)

Please tell us why you believe the candidate should be considered for the YWCA Racial Justice Award.

Tell us about yourself: