Black History Month Brunch Honoree Nomination

The Genesee District Library accepts nominations for individuals and organizations. All nominees will be considered by the Black History Month Brunch Advisory Committee, which is comprised of members of GDL administration and staff, Board of Trustees and the community at large. 2020 Nomination Deadline: September 30, 2019. Thank you!

Nominee Name:(*)
Please enter a valid name.

Title or Organization:
Please type work title or organization.

Gender:
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Mailing Address:
Please write street address, city, state and zip.

Nominee Phone:(*)
Please type a valid phone number with area code.

Nominee Email:
Please type a valid email address.

Area of community contribution(s): (check all that apply)
Please check at least one.

History-making, community impact:(*)
Please enter the nominee's qualifications before submitting.

What qualifies this individual/organization for this award? Please be specific, noting positions held, community involvement, recognition, impact and service. You may also upload letters of support (see below). Detail the nominee's contributions that are noteworthy and have community-wide benefit now and/or in the future. It is important that the details include the what, why and for whom.

Referral Name:(*)
Please enter your name before submitting.

Relationship to Nominee:(*)
Please type your relationship to the nominee.

Referral Phone:(*)
Please type a valid phone number with area code.

Referral Email:

Thank you for your nomination!

If you have any questions, please contact Kelly Flynn, Community Relations Manager, at (810) 230-9613 or [email protected]

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