| Nomination Form |
|
|
|
| Written by Janelle Williams | |
| Thursday, 31 December 2009 | |
|
Your Name:
(nominates to be considered for selection as a "Positive Black Image") Nominators Information Nominator's Name:
Organization (if applicable):
Nominator's Title:
Address:
Phone Number:
E-mail Address:
Nominees Information Nominee's Name:
Organization (if applicable):
Nominee's Title:
Address:
Phone Number:
E-mail Address:
1. How long have you known the nominee? In what capacity? ( 100 words or less)
2. What are the reasons that you are nominating the above individual as a "positive black image"? (500 words or less)
I certify that the above is true to the best of my knowledge....
|
|
| Last Updated ( Friday, 01 January 2010 ) |



Normination Form 


.jpg)


































