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Northern Illinois University - Ally Awards
2012-2013 Nomination Form

Nomination Deadline: Friday, March 1, 2013 at 4:30pm

Section 1: Nominee Information
Name of Nominee:
(Note: Nominees can be individuals, departments, or groups)
Address:
Phone:
E-mail:
Department (for faculty or staff):
Area of study/major (for students):
Year in school:
Section 2: Comments
Please describe in a paragraph or two how the nominee has shown their support for lesbian, gay, bisexual, transgender (LGBT) people or the LGBT community during the 2012-2013 school year.  Please include specific examples.
Section 3: Nominator Information
Please join us for the Ally Award Reception in April during LGBT Awareness Month. Visit our events calendar for information about the date for the reception.
Submitted by:
Date:
Department/Address:
Phone:
E-mail: