NOMINATION APPLICATION — REEBOK HUMAN RIGHTS AWARD

PURPOSE OF AWARD 
Established in 1988, the Reebok Human Rights Award honours young people from the United States and around the world who have made significant contributions to the cause of human rights, often against great odds. The purpose of the Award is to shine a positive, international light on the awardees and to support their work in human rights. A $50,000 grant is given to further the work of each Award recipient. 

ELIGIBILITY FOR AWARD 
Award candidates must be 30 years of age or younger by December 31, 2002. Award candidates cannot advocate violence or belong to an organization that advocates violence. Award candidates must be working on an issue that directly relates to the United Nations Universal Declaration of Human Rights. Women and men of all races, ethnic groups, nationalities and religions are eligible. The Award is given to an individual, based on that individual's personal achievement and commitment. It is not given to groups of people, organizations, or as a memorial award to people who have died.

GUIDELINES FOR NOMINATIONS 
A complete nomination includes the following:
•	Application form (Please print the application form below and complete it.)
•	Letter of nomination
•	Three letters of reference for the candidate, in addition to the nomination letter (Letters of recommendation should highlight why the individual is being recommended for the award and how long the nominator has been aware of the individual's contributions. The candidate’s personal information on family background and history of human rights work should be included. Nominators must specify whether the Award candidate has received or is currently nominated for other human rights awards. The letters should answer the following questions: 
How long have you known the candidate and in what capacity? 
What are the personal achievements of the candidate? 
What motivated this person to begin human rights work, and what continues to inspire them? 
What are the obstacles that the nominee faces in accomplishing his/her work? 
How has the nominee lead or engaged others in his/her work? 
How has the nominee’s work impacted the community?)
•	Copy of birth certificate or other proof of age. Nominee must be 30 years of age or younger on December 31st, 2002.
•	Supporting materials such as: photographs, newspaper clippings, narratives or other items describing the candidate’s work. Please note that materials submitted with the nomination cannot be returned.

*If any of the nomination components are to be sent separately, please note which ones on the application form.

NOMINATIONS MUST BE RECEIVED BY MAY 31 OF THE RELEVANT YEAR.

PLEASE SEND ALL NOMINATION COMPONENTS TO: 
The Reebok Human Rights Award Program
Reebok International Ltd.
1895 J.W. Foster Blvd., Canton, MA 02021 U.S.A.

FOR MORE INFORMATION, CONTACT THE REEBOK HUMAN RIGHTS PROGRAM: 
tel: 781-401-4910
fax: 781-401-4806 
email: humanrights@reebok.com
website: www.reebok.com/humanrights

APPLICATION FORM

CANDIDATE 

Name:

Date of birth:

Street/P.O. Box: 

City: 

State/Province: 

Country: 

E-mail: 

Phone (work): 

Phone (home): 

FAX: 

NOMINATOR

Name: 

Street/P.O. Box: 

City: 

State/Province: 

Country: 

E-mail: 

Phone (work): 

Phone (home): 

FAX: 

LETTERS OF REFERENCE (may be sent separately)

Name/Organization 1: 

Phone: 

Fax: 

E-mail: 

Name/Organization 2: 

Phone: 

Fax: 

E-mail: 

Name/Organization 3: 

Phone: 

Fax: 

E-mail: