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SEPA SHRM Diversity Award
Nomination Form

NOMINEE CONTACT INFORMATION 

 

Nominee Name:

Title:
Company Name:
Phone:
Email:

NOMINATOR CONTACT INFORMATION

Nominator Name:

Title:
Company Name:
Phone:
Email:
Yes No Does the Nominee know that you have nominated him/her?
Yes No May we contact you or nominee for more information?
: Attach a summary explaining how the Nominee has demonstrated superior leadership in the area of diversity. Information to include:
  • Describe the action-driven program which has generated beneficial results within the past two (2) years.
  • Include examples of measurable results.

Please Enter Code:

 

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