Unity Award Nomination Form

The Citizens’ Unity Commission’s mission is focused on promoting and sponsoring activities and events that bring citizens together, encourages positive interactions between diverse individuals and groups, promotes the value of respect for differences, and creates opportunities for learning and growing together. The Unity Awards was established in 2000 to recognize the contributions of individuals, organizations and initiatives that have made a positive impact supporting the importance of diversity in the city of Hampton.

To nominate an individual, organization or initiative for the Unity Award, please complete the following information below. Deadline for nominations is December 31.

Are you nominating a(an):*

IndividualOrganizationInitiative

Nominee Name:*

First NameLast Name

Organization (if applicable):

Nominee's Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Nominee Contact Number:*

Please enter a valid phone number.

Nominee's Email*

example@example.com

Nominated By:*

First NameLast Name

Nominator's Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Nominator's Contact Number:*

Please enter a valid phone number.

Nominator's Email:*

example@example.com

In the field below, please answer the following question in 500 words or less:

To what extent has the nominee impacted Hampton?

When answering this question please try to hit the following points:

Describe how the nominee has modeled behavior or demonstrated commitment to the Citizens’ Unity Commission’s mission to foster healthy Diversity, Equity & Inclusion relations.
Describe how the nominee has amplified awareness of Diversity, Equity & Inclusion.
Explain how the nominee has participated in fostering connections among citizens.
Explain how the nominee has worked to dispel myths and misperceptions about Diversity, Equity & Inclusion.
Explain how the nominee has broken new ground and what positive impact has the nominee’s work had on the City of Hampton.

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