2022 Citation Award Dinner Registration Form

NCCJ's 2022 Citation Award Dinner. Honoring Addy and Paul Jeffrey and Linda and Tom Sloan. Co-chaired by NCCJ's board of directors.

Join us Wednesday, November 9, 2022
Fill out this form to become a table sponsor, pledge a donation, or reserve your tickets. 
Every gift supports NCCJ's work of fighting bias, bigotry and racism 
and fostering more compassionate, respectful conversations in our community. 

Sponsors, wondering what sponsorship level is right for you or your organization? Check out the Sponsorship Chart. (Logo placement starts at the Respect Champion level. Option for a DEI Spotlight starts at Inclusion Champion level.)

(Why we are asking this: If you heard about this event through your house of worship and would like to sit with other folks in your congregation, please tell us the name of your house of worship so we can be sure to seat you together.)

Enter any date between now and June 30, 2023

Formal Contact Person (the decision-maker or primary contact)

Event Contact Person (who else should we email with event details and questions?)

Contact Info


We're grateful for your support and looking forward to celebrating with you on November 9. 

NCCJ's small but mighty team is working to make this event a fun, accessible and inspiring evening of community-building and celebration for you and your guests. 

Between now and November, Gloria Hoover will be in touch with you to share updates, including any details you and your guests will need (whether you are attending in-person or virtually.) If you have questions in the meantime, please feel free to reach out to Gloria by email at ghoover@nccjtriad.org or by phone at 336-272-0359 x 160. She's here to help!

Note: Pledge forms and payment can also be mailed to NCCJ at 713 North Greene Street, Greensboro, NC 27401.