Welcome to City of High Point Form Center

Human Relations Humanitarian Award

2. The High Point Human Relations Commission Humanitarian Award was created to honor a High Point citizen whom has made significant contributions to human relations in High Point. All fields are required.

4. Nominator's Name

5. Nominator's Email Address

7. Nominator's Street Address

9. City

10. State
    -- Select One --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

11. Zip Code

13. Phone Number

15. Nominee's Name

16. Nominee's Email Address

18. Nominee's Address

20. City

21. State
    -- Select One --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

22. Zip Code

24. Phone Number

26. Please list the nominee's employer and/or organizations s/he is involved with in High Point.

28. Please discuss the nominee's contributions made during 2019 that benefited traditionally underrepresented individuals and diverse groups.

30. How has the nominee demonstrated a commitment to understanding, respect, equity and good will among citizens?

32. Thank you for your nomination.
    Previous award recipients within the last 5 years are not eligible for nomination. Nominations must be received by December 31, 2020. Completed nominations can also be mailed to the Human Relations Commission PO Box 230 High Point, NC 27262.

    Previous award recipients within the last 5 years are not eligible for nomination. Nominations must be received by December 31, 2020. Completed nominations can also be mailed to the Human Relations Commission PO Box 230 High Point, NC 27262.

Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field