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Champions for Change Award Application
Please complete the form below to submit your nomination to IPRA.
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Email
*
Your email
Nominator's Full Name
*
Your answer
Nominator's Agency
*
Your answer
Nominator's Phone Number
*
Your answer
In 750 words or less, explain the services, training, and/or programs supporting DEI for employees and/or the community and its purpose, including statement of need, its history, goals, and development.
*
Your answer
In 750 words or less, describe the overall impact of the work to the organization or community, including measurable short/long-term outcomes.
*
Your answer
A copy of your responses will be emailed to the address you provided.
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