2014 Racial Justice Ambassador Awards Nomination Form

Nominations are welcomed through August 15th. Selections will be made on August 16th. All nominees will be recognized, along with the winners, at the upcoming Racial Justice Award Ceremony on September 11th at the UTEP Centennial Museum. If you have any questions please contact the Racial Justice Program Manager at 915-838-3534.
To submit a nomination for your nominee, please answer the following questions as specifically as possible.
* required information
Racial Justice Ambassador Awards 


Nominee Information (Section I)
Nominee Category:*
First Name:*
Last Name:*
Organization/Company/School Name:
Position/Title:
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Phone:*
Email:*
Why do you believe this nominee should receive the YWCA Racial Justice Ambassador Award?:*
How has this nominee exemplified the R.J. Core Values of Respect, Acceptance, Understanding, and Appreciation of Differences?:*


Nominator Information (Section II)
Please provide information about the person filling out the form.
First Name:*
Middle Initial:
Last Name:*
Organization/Company/School Name:
Position/Title:
Address:*
City:*
State:*
ZIP/Postal Code:*
Phone:*
Alternate Phone:
Email:*
No nomination fee applicable. All nominations are welcome. Nominees will be recognized along with winners at the UTEP Centennial Museum on September 11, 2014. The nomination deadline is August 15th. For more information contact the Racial Justice Program Manager at 915-838-3534.