Joan Drury Award Nomination Form

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DEADLINE TO SUBMIT NOMINATIONS: March 31st, 2024

We invite you to nominate a Cook County community member or local business/organization who works toward fostering gender equity through one or more of the following:

Volunteerism
Community commitment
Personal awareness
Promotes education, awareness, & outreach
Philanthropy

For more information on the nomination criteria and the story of Joan Drury, visit https://www.violencepreventioncenter.org/community

Please contact Jessica at the Violence Prevention Center with any questions: jessica@violencepreventioncenter.org or 218-387-1237.

Please list today's date. *

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About the Nominee

We ask for their contact information. Please indicate if they have a preferred method of contact.

Nominee's full name or business/organization name: *

Nominee's phone number:

Nominee's email address:

Which category is this nomination for? *

Individual

Organization

To highlight Joan’s outstanding commitment to our mission and ending gender-based violence, the Violence Prevention Center will annually recognize one individual and one business or organization who exemplify one or more of the following. Select all that apply: *

Volunteerism: Values volunteering as a commitment to engage in the work of individual and community safety within their area of interest and influence. Works within their community to foster peace, justice, and equity for women and girls, and builds the capacity to transform violence.

Community Commitment: Has a willingness to take leadership roles and challenging positions to improve the lives of individuals and families in the community, understanding that change requires tenacity, continuity, and a willingness to challenge what has been done.

Promotes Education, Awareness, and Outreach: Participates in education, awareness and outreach activities that increase the potential for peaceful and just communities. Supports ideas and potential resources to promote current and expanded programs and service to persons who have been subjected to domestic and sexual violence and/or human trafficking.

Personal Awareness: Continues to seek out lifelong learning opportunities as a way to increase personal and community awareness related to gender, equity, justice and privilege.

Philanthropy: Advocates for or supplies financial resources in a way that acknowledges the inherent dignity of survivors as well as leverages opportunities for survivors of domestic violence, sexual assault and/or human trafficking.

Required

How does the nominee exemplify the quality/qualities that you selected above? *

How has the nominee contributed to gender equity in our community? *

How has this nominee made an impact in our community including notable accomplishments? *

Is there anything else you’d like to share about the nominee?

About You, the Nominator

We ask for your contact information. Please indicate whether or not it is okay for us to leave a message or if you have a preferred method of communication.

Please share your full name: *

Please share your phone number:

Is it okay for us to leave a message at your phone number?

Yes

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Please share your email address:

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How did you hear about this award?

Thank you!

Thank you for completing this nomination form. What happens next? The selection committee will review all nominations and select one award winner from each category (individual and business) to be recognized at an award ceremony in February 2024.

Any further questions or comments can be directed to Jessica at the Violence Prevention Center: jessica@violencepreventioncenter.org and 218-387-1237.

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