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The Fort Collins Human Relations Commission HUMAN RELATIONS AWARD NOMINATION FORM

CRITERIA: Every year the Human Relations Award recognizes those in our community who promote acceptance and respect for diversity in the City of Fort Collins. Nominations are taken in the five different categories outlined below.

The award process considers the length of service and commitment to the community. Anyone who has not previously won the Award is eligible for consideration. There are no Fort Collins residency requirements.

The deadline for submitting and returning nomination forms is March 31st.

Nomination Categories:
There are 5 categories for the Human Relations Awards. (To nominate in more than one category, you will need to submit a separate nomination form for each category.) Please check the appropriate category for your nominee:
Nominee Contact Information (Required):
* Name of Individual/Organization:
* Home Address:
Home Address (continued):
* City: * Zip:
* Phone:
 
* Business Address:
Business Address (continued):
* City: * Zip:
* Phone:
* Current Occupation (individual):
* Name of President/Executive Director or Organization's Representative:
E-mail (if available):
Website (if available):
Purpose of organization (if applicable):
About Your Nominee:

NOTE: Please respond in detail and submit additional attachments if necessary. Additional attachments can be submitted on-line or mailed to the H.R.C., c/o Human Resources, PO Box 580, Fort Collins, CO 80522. Should this nominee become the recipient, the information provided will be used for the presentation introduction and for publicity. Therefore, it is important that all information be correct, complete and specific.

Please answer the following questions:

  • Why would you like to nominate this individual or organization?
  • Why do you believe this person or organization is special and deserves this award?
  • How long has this person or organization been promoting human dignity in the Fort Collins community?
  • How has this person or organization promoted acceptance and respect for diversity among residents of the city of Fort Collins? Please give specific examples.
  • Is the work done by this person or organization voluntary or paid?
  • Please give additional examples and information in support of your nominee.
*  
Additional attachment
(optional):
Reference (Optional):
Reference Name:
Home Address:
Home Address (continued):
City: Zip:
Phone:
E-mail (if available):
Nominator Information (Required):
Person or group making nomination:
* Home Address:
Home Address (continued):
* City: * Zip:
* Phone:
* Business Address:
Business Address (continued):
* City: * Zip:
* Phone:
E-mail (if available):
Relationship to nominee:
How Did You Learn About the Human Relations Award?:
Other (Please specify):
* denotes required field