2019 Take A Stand for the Revolution Award Nomination Form
This form is to submit names for individuals for the 2019 Take a Stand for the Revolution Award. Nominations must be made by Friday, February 1st, 2019. You may make as many nominations as you would like. You may nominate yourself.

Qualifications for this award include anyone in the Twin Port's region exemplifying education equity, racial equity, community service, peace, and/or justice in their life and work.

The award winner will receive $500 total, $250 for them and $250 for them to contribute to an organization of their choice.

Nominees will be notified by phone and/or email communication by Monday, February 4th, 2019 and must accept the nomination by Friday, February 8. Nominees receive two free dinner tickets for themselves and a guest and a certificate. The award will be presented at the 2019 NAACP Freedom Fund Dinner February 22nd at Clyde Ironworks located at 2920 W Michigan St, Duluth, MN 55806.

If you have questions regarding this award or this form, contact the committee at freedomfund@duluthnaacp.org.

Your Name *
Your answer
Your Phone Number *
Your answer
Your Email *
Your answer
Nominee's Name *
Your answer
Nominee's Phone Number *
Your answer
Nominee's Email *
Your answer
Nominee's URL (LinkedIn, Facebook, Instagram, or Personal Website)
Your answer
In three(3) sentences or less, tell us why the nominee deserves this award. *
Your answer
List achievements, accomplishments, and/or responsibilities of the nominee. *
Your answer
List up to 3 organizations the nominee is affiliated with. *
Your answer
Is the nominee available to attend the Freedom Fund Dinner? The dinner is February 22nd, 6PM (doors open at 5PM for art show) at Clyde Iron.
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