Ally Recognition Award
We seek nominations of individuals within Dickinson College who have shown active allyship to members of the lesbian, gay, bisexual, transgender, queer, questioning, intersex, and asexual community at Dickinson College.

This person's personal commitment to fighting oppression and prejudice should reflect a willingness to:

1. educate oneself about different identities and experiences
2. challenge one’s own discomfort and prejudices
3. learn and practice the skills of being an ally
4. take action to create interpersonal, societal and institutional change.

Please complete the nomination form below. Self-nominations are accepted.

There will be one (1) student and one (1) faculty, staff, or administrator selected for this award.

I wish to nominate:

Name of Nominee:
Your answer
Nominee Status
Nominee Address:
Your answer
Nominee Phone: (Including Area Code)
Your answer
Nominee E-Mail Address:
Your answer
Brief Summary of Nominee's Contributions:
Your answer
Nominated By:
Your answer
Nominator Address:
Your answer
Nominator Phone Number:
(Including Area Code)
Your answer
Nominator E-mail Address:
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms
Google Forms