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. *
Your answer
Nominee's Contact Information. Please list the nominee's name, email address, phone number, organization or employer, and title. *
Your answer
Is the nominee aware that you are nominating her? *
Award category for which you are nominating this person? (Select one) *
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