YWCA Action Against Prejudice Award
Established in honor of Nancy E. Peace
Nominator's Name
First Name
Last Name
Organization (If Applicable)
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to the Nominee
Nominator's Signature
Nominee's Full Name
First Name
Last Name
Nominee's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominee's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Nominee's Occupation
Nominee's Employer/Organization (Town/City/Zip Code)
Please explain why your nominee is uniquely qualified to receive the Nancy E. Peace Action Against Prejudice Award. Discuss what your nominee had done in his/her professional or volunteer life to eliminate racism, fight prejudice and celebrate diversity. Please include specific examples of activities, initiatives or a response to a community incident or intolerance that demonstrate how the nominee meets the award criteria.
Submit
Submit
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