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Nomination Form

In keeping with the mission of the Civility Campaign, please thoroughly address all three categories to demonstrate that this Civility Champion nominee embodies the principles of Civility – self-reflection, care, respect and empathy, while acknowledging the culture and humanity of others.

*Nominations are now closed. Please join us at the Civility Celebration to recognize the nominees and those selected as the 2016-2017 Civilty Champions.