Inclusive Leadership Award Nomination Form
Submit your nomination for the Inclusive Leadership Award by providing details about your nominee and why they exemplify inclusive leadership.
Nominee's Full Name
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First Name
Last Name
Nominee's Organization
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Nominee's Role or Title
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Your Full Name
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First Name
Last Name
Your Email Address
*
example@example.com
Your Relationship to the Nominee
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Please Select
Colleague
Manager/Supervisor
Direct Report
Community Member
Other
Describe why you are nominating this individual for the Inclusive Leadership Award.
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Provide specific examples of the nominee's inclusive leadership in action.
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Share any additional comments or supporting information (optional)
Submit Nomination
Should be Empty: