NCCJ Citation Award Nomination Form

About the Award

Since 1964, NCCJ has honored local leaders with the Citation Award in recognition of their extraordinary efforts to build a more respectful, fair, and inclusive community for all of us - not just some of us.

To identify deserving candidates, NCCJ welcomes nominations from communities across the Triad. To be considered for the 2025 Citation Award, your nomination form must be submitted by midnight (12 PM) on Monday, March 24, 2025. Nominations received by this date will be considered by the Citation Award Selection Committee (nominations received after this date will be considered in the following year). In April, NCCJ’s Board of Directors will formally select the honoree based on the recommendations presented to them by the Selection Committee. Nominators will be notified soon after.

Note: Want to nominate someone but don't have all the information you need to complete all the fields on this form? Please go ahead and submit this form with the information you do have, then contact Alison Whitman Jones at ajones@nccjtriad.org or 336-272-0359 x 130 to talk about what else NCCJ may need to know about your nominee.

Eligibility for the Citation Award

NCCJ’s mission is to build a compassionate and just community free of bias, bigotry, and racism. NCCJ does not advocate for any group or philosophy, but works to build mutual respect among all people—regardless of race, faith, culture, sexual orientation, gender, or socioeconomic background. Citation Award nominees must model these values in all aspects of their lives.

All residents of the Triad are are eligible for nomination, with the following provisions and exclusions:

The nominee may not have previously been a Citation Award honoree in the Piedmont Triad (please see our website for a full list of previous honorees);
Only nominees' work in the Triad area will be considered for this award;
The nominee may not hold elective office except in cases when a) the individual’s term will be completed within the year, b) they have not filed for any elective office, and c) filing deadlines have closed;
Current NCCJ board members are generally not eligible for the Citation Award (however, in special circumstances the Selection Committee may accept nominations of current board members); and
Nominations will remain "active" for 3 years. You may submit additional supporting materials to add to an application packet that was submitted within the past 3 years.

Nominee Information

First Name

Last Name

Phone

Home Address Line 1

Home Address Line 2

City

State

Postal Code

Company and Title (if applicable)

Business Address Line 1

Business Address Line 2

City

State

Postal Code

Age (approximate is fine)

# of years they have been active in the Triad:

Race/Ethnicity

Gender

Religious affiliation (if any)

House of worship they attend (if any):

4 Questions About Your Nominee

Tell us how the nominee's lift and work reflect the criteria for the Citation Award. Please answer each question and be specific. (You may attach additional sheets if necessary or if you do not wish to type your responses here, you may answer these questions in a separate document and attach it below.)

Organizations the nominee has worked or partnered with:

Areas of focus for nominees' philanthropic/volunteer/advocacy work (ex: education, youth leadership, race relations, etc.)

How does the nominee exemplify NCCJ's mission of building more welcoming and compassionate communities free of bias, bigotry and racism?

Is there anything else we should know about how the nominee has worked to make our community a better place for all people?

Attachments

You may attach materials that illustrate the work of your nominee (example: resumes, biographies, news articles, interview transcripts or video recordings, other awards or honors they have received). You can also include up to three (3) letters of recommendation. These attachments are optional but strongly encouraged.

Attachment #1

Attachment #2

Attachment #3

Please tell us if you...

Have more than 3 attachments and will email the rest to Alison at ajones@nccjtriad.orgNeed more time to gather attachments and will email them to Alison by March 31Have questions about these attachments and want to speak with Alison

Your Information

First Name

Last Name

Phone

Address Line 1

Address Line 2

City

State

Postal Code

Preferred contact method(s)

PhoneEmailText

Length of time you've known nominee

Your relationship to nominee

Name(s) of any additional nominator(s)

Questions? Contact Alison Whitman Jones at ajones@nccjtriad.org or 336-272-0359 x 130.

Thank you for taking the time to recognize the tremendous difference your nominee has made in helping to make the Piedmont Triad a better place for everyone.

Contact Information