Black History Month Nominations 2025

Black History Month Nominations
For full details scroll down to the bottom of the form to read all matters pertaining to filling out this nomination form ⬇
Your Name*

First NameLast Name
Your Email*
example@example.com
Your Phone Number*
Please enter a valid phone number.
The Honoree for the Year exhibits efforts in Advocacy, Role Model, and Leadership per criteria listed below in this form.
Nominee's Name*

First NameLast Name
Nominee's Email*
example@example.com
Nominee's Phone Number*
Please enter a valid phone number.
Nominee's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Provide specific examples RE: the nominee and their qualifications related to ADVOCACY and being a ROLE MODEL:
Provide specific examples RE: the nominee and their qualifications related to LEADERSHIP and PHILANTHROPY:
If available, please provide a link to your nominee's bio.
If available, please provide any documents to support your recommendation.

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