Please enter your nominee's contact information (name/phone/email, etc.):
Does the nominee live/work in the Central Massachusetts area?
Does the nominee show demonstrated commitment to serving as a role model for LGBTQIA+ youth/adults or other marginalized group, as applicable to the award?
Does the nominee show demonstrated commitment advocating for equal rights and social justice for all?
Does the nominee show distinguished contribution to LGBTQIA+ youth/adults or other marginalized groups in Central MA, as applicable to the award?
Does the nominee agree to be recognized by Safe Homes for his/her contributions and this achievement at public events and in the media?
Award Categories (please check only one)
Additional Information about Nominee: