2015 Seattle Human Rights Award Nomination Form

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Awardee selection will be based on the following criteria:
• Demonstrates a strong commitment to advancing human rights
• Works for racial and social justice
• Provides courageous leadership
• Develops innovative programs advancing human rights
• Supports equal opportunities and workplaces free from discrimination
• Business awardees: Provides a living wage, fosters a positive work environment, and has family friendly policies

PLEASE COMPLETE NOMINATION BY NOV 20TH 2015

Name of the Nominee

Award Category

Human Rights Leader (individual)

Rising Human Rights Leaders (youth group, under 18)

Human Rights Organization

Human Rights Business

Human Rights Coalition

Human Rights Artist

Clear selection

Phone Number of the Nominee

Email of the Nominee

Address of the Nominee

Your Name

Your Phone Number

Your Address

Your Email Address

Your Relationship to the Nominee

Please describe specific attributes that are consistent with human rights that the nominee exemplifies. Please include any additional information about the nominee that you would like to have considered

Are there special circumstances that make the nominee's achievements outstanding?

Your Signature (By typing your name, you confirm that all the information is correct)

Submit

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