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» Men of Integrity Nomination Form

If you know a man of integrity, we invite you to nominate him to receive the Men of Integrity award. Please remember, this award is about behaviors that actively promote a safer environment for women.

Nomination is due December 14, 2012.

Nominee Information:

First Name: Last Name: Local Address: Local Phone: E-Mail: Permanent Address: Permanent Phone:

Nominator's Information:

First Name: Last Name: Address: Phone: E-Mail:

When answering the following questions, please be as specific as possible and give examples when possible. Please remember, this award is about behaviors that actively promote a safer environment for women.

Describe how this individual’s behavior demonstrates a consistent stand against violence and disrespect towards women. (i.e. Does he speak up and stop inappropriate jokes or behaviors aimed at demeaning or objectifying women? Does he intervene when someone is trying to to take advantage of a woman)? Why do you think this person is a man of integrity? What kind of effect has this person had on the Chapman community? Please give a brief explanation as to why you believe this student is deserving of the award. Signature (by typing your name below you attest that all the information entered is accurate and that you are signing this document):