2017 UCCR Peacekeeper Award

 Please complete the nomination form below, or send an email with the information to uccr.net@gmail.com.

 All nominations will be kept confidential and are due by April 19th, 2017. 


Full name of the nominee. (Required)
Describe the conflict resolution activities, including the time of participation, type of work, and organizations in which the nominee has participated.
Describe the contribution that this person has made to the Utah Council on Conflict Resolution or ADR community.
Explain why you personally think that this person deserves the Peacekeeper Award.
Include any other information that is relevant to this nomination.
Include your name, phone number, and email address.
Verification (to make sure you're human)

Enter the text you see in image (or refresh for new text)

Note: Please do not include any URLs in form.



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