Equality Award Nomination Form

An annual award given to an individual or group for outstanding contribution toward promoting equality in the library profession. The contribution may be either a sustained one or a single outstanding accomplishment. The award may be given for an activist or scholarly contribution in such areas as pay equity, affirmative action, legislative work and non-sexist education. 

I wish to nominate the following:
zip, zip+4, or Canadian postal code
format 123-456-7890 x1234 (extension is optional)
Nominated by:
zip, zip+4, or Canadian postal code
format 123-456-7890 x1234 (extension is optional)

Check the following categories that best represent the area in which the nominee contributed to equality. (You may check more than one)