2024 Willard M. McRae Community Diversity Award Nomination Form

Liberty Bank invites you to submit a nomination for the 2024 Willard M. McRae Community Diversity Award. This award is presented to honor an organization that is focused on achieving equity and social and economic mobility for historically marginalized groups or economically disenfranchised individuals with a vision towards creating vibrant and inclusive communities. The organization selected for the award will receive a $10,000 grant from Liberty Bank Foundation at an award presentation in Q1 2025.

Criteria by which nominees will be evaluated include:

Exemplary contribution to celebrating, promoting, and advancing diversity, equity, and inclusion in our communities
Extraordinary participation over an extended period of time in activities that provide access and opportunity to historically marginalized or economically disenfranchised individuals or groups
Significant impact on building relationships between different people--whether their differences be of race, ethnic background, disability, religion, age, gender identity, sexual orientation, national origin, or socioeconomic status, or any other aspect of diversity
The organization is recognized for pioneering new DE&I initiatives that have potential to influence their industry

If you have any questions as you're completing the form, please contact Toral Maher at tmaher@liberty-bank.com or (860) 638-2961. Thank you for your nomination!

NOMINATIONS DUE: FRIDAY, NOVEMBER 1, 2024.

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* 1. Name of Organization

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* 2. Contact at Organization (First and Last Name)

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* 3. Provide a brief description of the organization being nominated, including the mission statement.

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* 4. Describe three activities the organization is engaged in that are focused on increasing awareness, understanding or promoting diversity, equity and inclusion in our communities.

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* 5. Describe the impact these efforts have had on increasing awareness and understanding of diversity, equity and inclusion as a strength in our community.

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* 6. List any of the organization's honors and awards that demonstrate recognition of the organization's achievements.

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* 7. Please provide any additional information you feel would be helpful to the selection committee.

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* 8. Contact Information

Nominator (First, Last)

Phone Number

Email Address

Street Address

City

State

Zip