Nomination Form

Tell us about someone who inspires you!
This person is advocating for the LGBTQIA+ community at the intersections of race, immigration status, age, differing abilities, or more.

We will contact them, sharing what inspires you, and asking them to join our Share Your Pride campaign!
Please enter your friend or family member's contact infromation below.

Nominee Contact Information

First Name Last Name

Pronouns (Optional)

City State/Province

(Optional)

My Information

My name (nominator):

My email address (nominator):

In a few sentences, tell us what inspires you about the person you're nominating.