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Awards Nomination Form
Nomination Deadline: January 12, 2018
Please feel free to select all categories that are applicable for this one nomination.
Required field(s) are indicated by an *.
Award Category (check one):
Arthur A. Fletcher Award
Presented to an individual with a lifetime of achievement promoting and advocating for affirmative action, EEO, and diversity.
Cesar Estrada Chavez Award
Presented to an individual who has demonstrated leadership in support of workers' rights and humanitarian issues.
Rosa Parks Award
Presented to an individual who has served as a role model and leader to others through personal achievements, excellence in a chosen field, commitment to human rights, civil rights and social issues and contribution to the betterment of society.
Edward M. Kennedy Community Service Award
Presented to an individual or organization demonstrating outstanding community service.
Champion of Diversity Award
Presented to an organization or corporation fostering equal opportunity as well as exhibiting outstanding commitment to diversity.
* Nominee Name
* Phone: (Business)
* Phone: (Home)
* Please attach a biography or resume of the nominee
* Reason For Nomination
Please provide detailed information regarding the nominee's contributions to the field of Diversity, Inclusion, Equity, Affirmative Action or Equal Employment programs.
* First Name:
* Last Name:
PDTI program for 2018
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