Request edit access
Ten Men Nomination Form 2024
Who are the Ten Men?

The Ten Men are compassionate, committed male-identifying folks who want to use their time and influence to help make their community safer. The Ten Men are Advocates – they advocate for emotional and physical safety for all people, and they advocate for positive transformation in the whole community. The Ten Men are men who have chosen to educate themselves about the root causes of gender-based violence and collaborate with others to make our community a place where people protect each other. 

Do you know a good candidate for the Ten Men?

Do you know someone who you believe embodies the traits of a leader or influencer, who should be nominated to become one of the Ten Men? Someone who has a desire to prevent abuse and violence in their community? Who is ready to speak up and openly share their passion? Who wants to build connections with other male-identifying folks who are caring leaders? 

Please fill out the contact information of your nominee along with a short statement on why you have nominated them. 
Sign in to Google to save your progress. Learn more
Nominee Name *
Nominee Email *
Nominee Phone Number
May we share information from this form with nominee? *
Why are you nominating this individual? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy