Inclusion Awards Nomination Form 

4th Annual Inclusion Awards Nomination Form


Nominate an individual or organization you think should be honored for their contributions to our local LGBTQ community. This includes LGBTQ people or allies doing incredible work to create a more inclusive community in the Pikes Peak region.

Nominations will be accepted though June 1, 2017; you may make multiple nomination, but only one per nomination form, please. The Inclusion Awards ceremony will be held on Thursday, July 6, 2017.

Nominator Information

Name:
Email:
Relationship to Nominee:
Your Phone:

Nominee Information

Tell us more about your nominee- what makes them special, and why they deserve this award.

Full Name:
Organization/Title:
Email:
Phone:

How long have they lived in the Pikes Peak Region?

How are they advancing gender and sexual diversity in the Pikes Peak Region?

What are some of their specific achievements?

Are they a part of any boards, committees, or organizations?

Why are you making this nomination? What makes the a truly special advocate for diversity?


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