Download the Nomination Instructions

Thank you for your interest in nominating someone for SPLC’s Individual Leadership Award.

Please tell us about yourself so we will know where to send the submission instructions, and how to reach you if any important clarifications or updates need to be made to the process:

First Name	*
Last Name	*
Title	*
Department
Company	*
Email	*
State
Country
	Would you like to receive SPLC UPDATE, our monthly e-newsletter? Yes