Person Submitting Nomination | Your Email (NOT Nominee's) *
Your answer
Person Submitting Nomination | Please describe your relationship with your Nominee including years known, mutual organizational involvement, etc. *
Your answer
Nominee's | General Information
Please provide contact information for the Nominee as well as a general lifestyle details.
Nominee | Scene Name *
Your answer
Nominee | Email *
Your answer
Nominee | City, State, Country *
Your answer
Nominee | Social Media Accounts | FetLife, Facebook, Twitter, Instagram, etc. *
Your answer
Nominee | Years in the Lifestyle *
Your answer
Nominee | Primary Leather/Kink Organizations and Roles *
Your answer
Nominee's | Qualifications
Please provide details on how the Nominee fulfills the Qualifications for The Leather Solidarity Collective's Sir Leon Strange Award.
Is the Nominee a BIPOC and active in the Local and National Leather/Kink Lifestyle and Community for a minimum 10 years. *
Choose
Yes
No
I'm not sure.
Activism | Describe how the Nominee has actively organized and participated in Social Justice efforts for marginalized BIPOC communities and the Leather/Kink Community *
Your answer
Education | Describe the Nominee's presentation experience and how they have shared knowledge, experience, and best practices with the Leather and Kink communities. *
Your answer
Community Service | Describe the Nominee's history of Leather and Kink Community Service and of giving back to the Lifestyle. *
Your answer
Mentorship | Describe the Nominee's history of BIPOC Mentorship to the Leather and Kink Community. *
Your answer
Fellowship | Describe how the Nominee has prioritized breaking bread with their peers as well as newcomers in their local, regional, and national BIPOC Leather and Kink Communities. *
Your answer
Nominee's | References
Please provide references that can speak on the Nominee's Qualifications for the Sir Leon Strange Award. A minimum of 3 DIFFERENT contacts is REQUIRED, so you may use one contact for multiple qualifications.
Activism | Reference | Please provide a NAME and EMAIL for one person who can speak to the Nominee's history of Activism. *
Your answer
Education | Reference | Please provide a NAME and EMAIL for one person who can speak to the Nominee's experience and history of Lifestyle Education. *
Your answer
Community Service | Reference | Please provide a NAME and EMAIL for one person who can speak to the Nominee's history of Community Service to the Leather and Kink Lifestyle. *
Your answer
Mentorship | Reference | Please provide a NAME and EMAIL for one person who can speak to the Nominee's history of Mentorship in the Leather and Kink Lifestyle. *
Your answer
Fellowship | Reference | Please provide a NAME and EMAIL for one person who can speak to the Nominee's history of Fellowship in the Leather and Kink Lifestyle. *
Your answer
Permissions
By submitting this form, you agree to allow members of the Leather Solidarity Collective and UPRISE! Organizing Committee to contact you as well as to use your name in our outreach to the Nominee and listed referrals. *