champions for family justice

Nomination Form

Thank you for considering a nominee for the Champions for Family Justice. Please fill-out this form in its entirety. You cannot save your work and return later, you have to complete information in one step. We suggest writing your nominee’s background and detailed information in a word document that you can cut and paste in the award field below. If you have any questions, please contact us at ucfjc@ywcaunioncounty.org.

The application deadline is March 15, 2026

* Indicates required information

Champions Awards Nomination Form

The application deadline is March 15, 2026

This field is for validation purposes and should be left unchanged.
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Nominator Information

Nominator Name(Required)

Nominee Information

Nominee Name(Required)
Nominee Organization Address
Please select one award for your nomination(Required)
Please share whether nominee lives in, works in, or impacts Union County(Required)
Please indicate if you would like your nominee notified of this award submission upon completion of this form? If YES, they will be copied on the confirmation email.(Required)
Would you like this nomination to be anonymous (we will not tell the nominee who nominated them)?(Required)