YWCA's Race Against Racism: Ambassadors of Change
Whether you look at it from a social or economic point of view, embracing cultural diversity can improve our lives in many ways. As many find a reason to divide over differences, we at YWCA Quad Cities strive to stand together and support all of those that need it. To celebrate this event and the cause for which it stands, YWCA Quad Cities will honor individuals who are using their WORDS, their ACTIONS, and their CHOICES to make a significant impact against racism in and around the Quad Cities, through challenging absent and harmful narratives on race, and building solutions that unite rather than divide.

As part of the ANNUAL RACE AGAINST RACISM presented by IH Mississippi Valley Credit Union, YWCA Quad Cities will continue with the tradition of recognizing and honoring Quad Citizens for their personal impact on fighting racism in our community.  Nominees selected will be honored at the RACE AGAINST RACISM on SATURDAY, OCTOBER 21st @ Lindsay Park Yacht Club. This year, the presentation will take place at 930am, before the race begins. 

Please read this Nomination Form carefully and complete to the best of your ability.  It is encouraged that you work closely with your nominee to complete this form, unless you wish to remain anonymous and/or will not be notifying the nominee of their nomination. If you wish to remain anonymous, it is encouraged that you work closely with individuals who know your nominee well and can provide sufficient information to complete the nomination form.
Sign in to Google to save your progress. Learn more
Nominee's Name: *
Nominee's Organization and Title *
Nominee's Email:
Nominee's Phone Number:
Nominator's Name *
What is your relationship to the nominee? *
Nominator's organization & title *
Nominator's email *
Nominator's phone number *
Do you wish to remain anonymous? *
Why is this person being nominated?    

How is this individual using their WORDS, their ACTIONS, and their CHOICES to make a significant impact against racism in and around the Quad Cities, through challenging absent and harmful narratives on race, and building solutions that unite rather than divide.                                  

 It is STRONGLY suggested and encouraged that SPECIFIC EXAMPLES of how this nominee has made an impact against racism in this community, as well as any additional information believed to be important for consideration. 

Feel free to include awards, honors, publications, articles and/or testimonials.
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of YWCA Quad Cities. Report Abuse