Utah Council on Conflict Resolution

P.O. Box 25221
Salt Lake City, UT 84125-0221
Phone: 801-440-5467

 2019 Peacekeeper Nominations

 Please complete the nomination form below, or send an email with the information to uccr.net@gmail.com.

 All nominations will be kept confidential and are due by April 8th, 2019. 
Full Name of Nominee. (Required)
Describe the conflict resolution activities, including the time of participation, type of work, and organization in whichthe nominee has participated.
Describe the contribution that this person has made to the Utah Council on Conflict Resolution or ADR community.
Explain why you pesonally think that this person deserves the Peacekeeper Award.
Include any other information that is relevant to this nomination.
Include your name, phone number, and email address.
Verification (to make sure you're human)

Enter the text you see in image (or refresh for new text)

Note: Please do not include any URLs in form.