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Human Rights Commission Award
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Nominations will be accepted throughout the year. The application deadline for a given year will be the first Monday of April.
Nominator Information
First Name
Last Name
Phone Number
Email
Nominee Information
Nominees must have performed services on behalf of Roseville residents or for Roseville residents
Name or Business
Address1
Address2
City
State
Zip
Phone Number
Email
This recognition program provides our community the opportunity to nominate individuals, groups and organizations for meritorious service in the pursuit and advocacy of human rights. It encompasses Roseville residents and anyone working on behalf of Roseville residents.
Describe briefly the nominee’s activity or accomplishment
Describe the impact on individuals or groups in the Roseville Community. Consider the number of people affected and the longevity or level of change created.
Elaborate on any special qualities (i.e. creativity, resourcefulness, stamina, diplomacy) that the nominee demonstrated in achieving this accomplishment.
Did the nominee need to overcome any obstacles or exhibit moral courage in order to pursue his or her goal?
Provide the names, telephone numbers and e-mail addresses of 3 individuals who can speak to the nominee’s efforts. This may include the person completing this form.
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