Traverse City Human Rights Commission Sara Hardy Humanitarian Award Nomination Form

Traverse City Human Rights Commission

Business/Organization Humanitarian Efforts Award

Nomination Form

Business or Organization Name*

Business/Organization's Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Business/Organization's Phone Number*

Business/Organization's E-mail*

example@example.com

Does this Business/Organization have more or less than 30 employees?

The Business/Organization is involved in the following humanitarian activities:

Please tell us how the Business/Organization's actions have enhanced the local community:

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