The Just Brooklyn Prize Nomination Form
Your First Name
Your Last Name
Your Email
Are you nominating yourself?
Yes
No
Your Organization
Your Title
Do you identify as BIPOC (Black, Indigenous, Person of Color)?
Yes
No
For this prize, we are seeking nominations for BIPOC leaders.
Do you live and/or work in Brooklyn?
Yes
No
For this prize, we are seeking nominations for leaders who live or work in Brooklyn.
Nominee's First Name
Nominee's Last Name
Nominee's Title
Nominee's Organization
Nominee's Email Address
Please ensure the nominees email address is current and working.
Do they identify as BIPOC
(Black, Indigenous, Person of Color)
?
Yes
No
For this prize, we are seeking nominations for BIPOC leaders.
Do they live and/or work in Brooklyn?
Yes
No
Would you like your nomination to remain anonymous?
(We will only share your name if requested by the nominee)
Yes
No
For this prize, we are seeking nominations for leaders who live or work in Brooklyn.
Contact Information