Emerging Change Champions Nomination 2018

Established by the Center for Community Change and the Petra Foundation in 2016, the Emerging Change Champion Award supports and celebrates a rising star in the economic and social justice movement who has shown outstanding leadership in our shared work to build power for low-income communities of color.

Emerging Change Champions demonstrate high levels of courage, compassion, leadership and promise with the potential to reach beyond organizational boundaries to build a broader movement for change from across the country.

All nominations must be submitted online, or by completing a nomination or re-nomination form emailed to Ghazala Salam ([email protected]).

Deadline: 11:59PM Friday April 27^th, 2018

Eligibility requirements include the following:

Individuals nominated for the Emerging Change Champion Award should display a combination of activism and thought, force of character that stands out from the crowd, independent judgment and responsibility, and clarity of expression.

The nominee’s activities should be devoted to social justice causes that are reflected in the Center for Community Change’s issue areas and also use elements of community organizing in their work. Issues can include, but are not limited to: Immigration Reform, Racial Justice, Gender Justice, Economic Justice, Clean Energy/Green Jobs, Early Childhood Education, Mass Incarceration, and Affordable Housing.

The nominee should be someone who is not widely recognized, who does not have personal privilege or a strong institutional base of support, and who has demonstrated a capacity to grow, overcome obstacles and make a significant contribution to human freedom by leading, teaching, and inspiring others to do the same.

Please note that nominations should be submitted without the knowledge of the nominees. They will be carefully researched based in part on the references provided with the nomination materials.

The winner of the Emerging Change Champion Award will be honored at CCC’s 50th Anniversary Community Change Champions Awards on September, 27, 2018 in Washington, DC.

Travel expenses to accept the award will be covered by CCC. The awardee will receive a small financial gift, leadership development and skill-share trainings, and a platform to elevate their work.

Please direct any inquiries on the Emerging Change Champion Award to Ghazala Salam ([email protected]).

Submission Process: You can submit using the form below or download the form here and submit to Ghazala Salam. Use this form to re-nominate someone that you nominated in 2017.

Change Champion Nomination Form 2018

Nominee Details
Name*
First Last
Nominee's Mailing Address*
Street Address Address Line 2 City State ZIP Code
Nominee's Phone*
Nominee's Email*
Nominee’s Affiliation With An Organization (If Any). Please Indicate All Names The Organization Uses:
Position/Title (if applicable)
Nominated by
Are you re-nominating someone that you nominated in 2017?*
- No, this is my first time nominating this nominee.
- Yes, I've nominated this nominee in 2017.
Name*
First Last
Organization (if applicable)

Please indicate all names the organization uses, as well as any website or other internet presence.
Phone*
Email*
Relationship to nominee
Reasons for Nomination/Award Criteria
When making your nomination, please describe how the nominee exemplifies the CCC award criteria. Please be as specific and as thorough as possible.
How long and in what capacity have you known the nominee?*
In what way is the nominee’s activity at the core of CCC’s values as articulated in the guidelines for the Emerging Change Champion Award?*
How has your nominee specifically initiated or accomplished something that sets her/him apart from others in the field? Has your nominee founded or helped found an organization that is replicable or has the potential to be applicable in other areas?*
Please describe the impact of your nominee’s work, including communities, groups, and organizations that have specifically benefitted.*
In what way do you think the nominee's personal qualities are at the core of the Center for Community Change’s interests and reflect its values, as articulated in the guidelines?*
What is the nominee likely to achieve in his or her field of endeavor in the future?*
To your knowledge, has the nominee received any honors, awards, or national recognition?*
References
Please provide at least three references who have personal knowledge of the nominee’s work and who, together, can provide a well-rounded picture of the nominee.
How many references will you provide ?*
Select an option from the dropdown. Please provide at least 3 references.
Reference #1*
Reference #2*
Reference #3*
Reference #4*
Additional Materials
The committee welcomes, but does not require, any links to additional materials you wish to provide, including news reports or other evaluations or documentation of your nominee's work. For materials not available online, please email them in an attachment to Ghazala Salam at [email protected] with the subject line, “2018 Emerging Change Champions Nomination”.
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Emerging Change Champions Nomination 2018

Change Champion Nomination Form 2018

Nominee Details

Nominated by

Reasons for Nomination/Award Criteria

References

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