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Nomination Form
The purpose of this award is to recognize significant and effective action to secure, protect, restore, or preserve human rights as outlined in the Universal Declaration of Human Rights or in other declarations on human rights. The award shall not be given to an organization but to any individual who is a member of a Baptist church affiliated to a convention, union, or organization that is a member of a Baptist World Alliance Member Body. Previous nominees who did not win an award may be nominated again. Nominations may be made in any language used by a Member Body of the BWA and must be received by November 30, 2023.
Name of Nominee (person nominated for the award)
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First Name
Last Name
Nominee Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominee Email Address
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example@example.com
Nominee Phone Number
BWA Member Body Affiliation
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Reason for Nomination (Part 1): Please share the story/relational impact of this nominee's work.
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Reason for Nomination (Part 2): Please share statistical information related to how this nominee's work has impacted lives.
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Supporting Materials
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Please provide video resources, published articles, etc. that provide further information related to the impact of the nominee's human rights work.
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Additional References for Nominee (Kindly provide the names and contact information of at least 2 people and up to 3 who can knowledgeably provide support for the nomination.)
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Reference #2
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Reference #3
Name of Nominator (person submitting the nomination)
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First Name
Last Name
Nominator Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominator Email
*
example@example.com
Nominator Phone
*
Nominator BWA Member Body Affiliation
*
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