NCBW-QCMC 2020 CANDACE Awards Nomination Application
Please complete this form in its entirety; incomplete forms will not be considered.
Nominator's Contact Information. Please list your name and email address.
Nominee's Contact Information. Please list the nominee's name, email address, phone number, organization or employer, and title.
Is the nominee aware that you are nominating her?
Award category for which you are nominating this person? (Select one)
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