JEFFERSON CITY, MO NAACPAWARD NOMINATION FORM |
This nomination form can be used for any of
the following awards:
ROY WILKINS AWARD
The Roy Wilkins Award is given in
recognition of individuals who have devoted their lives to finding solutions
to racial inequality, promoted educational excellence, and demonstrated
courage in the fight for equality, justice, and civil rights.
ROSA PARKS AWARD
The Rosa Parks Award is given to individuals who have
committed their lives, and have exhibited dedication and commitment to the
cause of equality and justice in the face of personal sacrifice, and for
standing up against racism and discrimination.
CORPORATE/PUBLIC IMAGE AWARD
This Corporate/Public Image Award is given to a
company or individual in the public/private sector, in recognition of
its/their commitment and dedication to equal opportunity, employment,
diversity, community support and leadership.
PRESIDENTIAL CHOICE AWARD
This Presidential Choice Award is given to an
organization or individuals in the public/private sector, in recognition of
its/their commitment and dedication to equal opportunity, access, employment,
diversity, community support and leadership.
MYRTLE SMITH ODEN YOUNG ADULT SERVICE AWARD
The Myrtle
Smith Oden Service Award is given to individuals who have worked
faithfully in the NAACP or other civic organizations for the overall
betterment of the community.
LIFETIME SERVICE AWARD
The Lifetime Service Award is given in recognition
of an individual for a lifetime career, dedicated toward the cause of
justice, equal opportunity and civil rights for all people.
LIFETIME ACHIEVEMENT AWARD
The Lifetime Achievement Award is given in
recognition of an individual who has worked diligently and given honorable
and dedicated service in the safeguard of justice and democracy.
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Award Sought:
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Nominee’s name:
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Title:
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Address:
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Phone number:
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Summarize in
your own words the specific achievement or contribution which inspired this
nomination:
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Evidence of
nominee’s professional skill and competence, and recognition received:
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Impact
nominee has made:
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Succinctly
describe the reason for the nomination, including dates and significance of
relevant accomplishments, their impact in the larger world, and ways in which
the meet the requirements of the specific award. Additional biographical material may be attached:
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Nominator’s name:
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Address:
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Phone:
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E-mail:
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Name and address of administrator/supervisor to
notify if this nominee receives the award:
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Please
return this nomination form to the Jefferson City, NAACP office at
111 W. High St., Jefferson City, MO 65102, or
111 W. High St., Jefferson City, MO 65102, or
via e-mail jcnaacp@gmail.com by September 4, 2012.
Questions?
Contact jcnaacp@gmail.com or
any NAACP member
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