Nominee's Name: 

Nominee's Address and E-mail: 

Nominee’s Phone Number: 

Nominee’s Mobile Number:

Nominated by: 

Nominator’s Phone number and e-mail: 

Provide at least three to five sentences with examples to support your nominee’s community involvement as it relates to each of the six steps for nonviolent social change stated below.

Background Information:  Please describe the nominee’s involvement in the community and why you are nominating her/him as a Local Legend.

Information Gathering:  Did the nominee research and/or gather information to impact her/his community involvement? If so, how did the nominee accomplish this effort?

Education:  Did the nominee attempt to provide information to strengthen the community and/or members of the community? If so, how did the nominee accomplish this effort?

Personal Commitment:  Did the nominee demonstrate a personal commitment in her/his community involvement? If so, how did the nominee accomplish this effort?

Negotiation:  Did the nominee demonstrate behavior toward compromise or working through issues related to her/his community involvement? If so, how did the nominee accomplish this effort?

Direct Action:  Did the nominee exhibit behavior(s) that moved her/his community involvement activity toward a positive outcome? If so, how did the nominee accomplish this effort?

Reconciliation:  Did the nominee attempt to assist with mending relationships in her/his community involvement effort? If so, how did the nominee accomplish this effort?