Traverse City Human Rights Commission Sara Hardy Humanitarian Award Nomination Form

Traverse City Human Rights Commission

Sara Hardy Humanitarian Award

Nomination Form
Nominee's Name:*

First NameLast Name
Nominee's Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominee's Phone Number*
Nominee's E-mail*
example@example.com
The nominee is involved in the following humanitarian activities:
Your reasons for nominating this individual:
Nominator's Name:*

First NameLast Name
Nominator's Phone Number:*
Please enter a valid phone number.
Nominator's Email:*
example@example.com
Select submit to complete your nomination or you can mail or fax your nomination form to the information provided below.

Please send nominations to:

Traverse City Human Rights Commission

400 Boardman Ave

Traverse City, MI 49684

Fax: 231-922-4470
Should be Empty: