Safe Zone "Ally Shout-OUT" Nomination Form
We are proud of our Ally network, and we want to recognize the good work that you all are doing to make campus a safer and more inclusive place for LGBTQ+ students. Our "Ally Shout-Out" nominees will be considered for our "Ally of the Year" award to be given at the University of Alabama's annual Service and Leadership banquet, in April.
Nominee Information
Tell us about the person/office/division/organization you are nominating.
Full Name *
Your answer
Department/Division
If applicable.
Your answer
Email Address (if known)
Your answer
UA Affiliation *
Why does this person/office/division/organiation deserve an Ally Shout-OUT? *
Please be as specific as possible.
Your answer
Your Information
Tell us about yourself.
Name *
Your answer
Email Address *
Your answer
UA Affiliation *
Would you like to remain anonymous to the nominee? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service