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The 2015 Kate Mullany
Courageous Young Worker Award

The Kate Mullany Courageous Young Worker Award honors young women workers who have stood up for workers' rights and organized their workplace in the face of overwhelming opposition. The winner(s) will receive a $1,000 cash award.

The award will be announced in the fall of 2015.

The Kate Mullany Courageous Young Worker Nomination Form

To be Eligible for the Award:

You may save a partially completed nomination form and return to it at a later time by clicking "Save Incomplete Nomination for Later Submission" at the bottom of this form. Upon saving the incomplete form, you will receive instructions via email about how to return to the form and submit it at a later date.

For more information, click here for Frequently Asked Questions.
Please do not email, mail, or fax any additional documents.

Winner(s) will be announced in fall 2015. We cannot answer questions about the status of your nomination.

Address other questions specifically related to your nomination to:

Please include the Nomination ID number in the subject line of any correspondence with Berger-Marks.

1. Nominator:

First Name:   Middle Initial:   Last Name:

2. Nominator employer/organization:


3. Nominator position:


4. Nominator email address:


5. Nominator best phone contact number:

Area Code (US or Canada)
    OR
Country Code (International)

   Number:

   Extension:

6. Nominee name:

First:   Middle Initial:   Last:   

7. Nominee email address:

8. Nominee best phone number for contact:

Area Code (US or Canada)
    OR
Country Code (International)

   Number:

   Extension:

9. Nominee date of birth:

Month:   Day:   Year:

(Note: Nominee must be 35 years old or younger on 12/31/2015)

10. Employer where nominee stood up for rights:

11. Stand Up Story: Briefly provide the context of the nominee's stand up work. Include state/city of workplace, type of work, make up of work force, treatment or incident that triggered stand up campaign, anti-worker anti-union campaign/ tactics by employer. No more than 250 words.

12. Describe an event or events that illustrate the courage of the nominee in the campaign for workplace rights. No more than 100 words.

13. Describe the personal sacrifice the nominee endured in his/her fight for workplace rights. No more than 100 words.

14. Why do you think the nominee deserves this award? No more than 250 words.

15. Did the nominee lose her job because of the fight for work place rights?

  

16. If you answered yes to question 15 provide month and year nominee was terminated (eg. 8 2014) :

Month:   Year:

17. What is the nominee doing currently? (select all that apply):









Make sure you have filled out all the above fields to your satisfaction.

Clicking the "Review before submission" button will submit your nomination for your review before final submission to Berger-Marks.

Clicking the "Save Incomplete Nomination for Later Submission" button will save your partially completed nomination and give instructions for submitting it at a later date.