2015 Seattle Human Rights Award Nomination Form
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
Your answer
Award Category
Phone Number of the Nominee
Your answer
Email of the Nominee
Your answer
Address of the Nominee
Your answer
Your Name
Your answer
Your Phone Number
Your answer
Your Address
Your answer
Your Email Address
Your answer
Your Relationship to the Nominee
Your answer
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
Your answer
Are there special circumstances that make the nominee's achievements outstanding?
Your answer
Your Signature (By typing your name, you confirm that all the information is correct)
Your answer
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