Each application must include the information below, which should be verified by the nominee. Please be specific (e.g. dates, names of organizations, positions held). The documentation submitted MUST NOT EXCEED 4 PAGES in length (plus the two letters of recommendation). Please print clearly or type.
1.1 Name of the nominee (person being nominated)
1.2 Address of the nominee, including postal code.
1.3 Telephone numbers of the nominee.
2.1 Name of the sponsor (person or group submitting this nomination).
2.2 Address of the sponsor, including postal code.
2.3 Sponsor's telephone numbers.
2.4 Name of the contact person, if the sponsor is a group.
2.5 Telephone numbers of the contact person.
3.1 If the nominee has promoted human rights and equality with respect to one or a few of the grounds listed in the Human Rights Act, please state the applicable ground(s) and describe for each such ground the nominee's achievements, efforts and/or leadership in New Brunswick.
3.2 Alternatively, if the nominee has not focused on any specific ground listed in the Act, please describe the nominee's achievements, efforts and/or leadership in the promotion of human rights, equality, non-discrimination and respect for diversity in general, in accordance with the Human Rights Act.
4. How much impact has the nominee had? In what geographical area?
5. How are the nominee's activities exceptional or outstanding?
6. Why would the nominee be a good example or role model for New Brunswickers with respect to the advancement of human rights and equality?
7. If the nominee is an individual, please enclose a short biography or résumé. If an organization, provide its mission and objectives and a short history.
8. If the nominee has won other awards for contributions to equality and human rights, please indicate the award, sponsoring organization and the year.
9. Please enclose two letters of recommendation that support this nomination.
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