Tenia Jenkins Activist Award Nomination Form Tenia Jenkins Activist Award nomination form I would like to nominate: Award-Tenia Jenkins Activist If you are human, leave this field blank. First Name Last Name Nominee's Job Title and Place of Employment Address City State Zip Code Home or Cell Phone Number Home Email Address Submitter Information Your First Name Your Last Name Your Address Your City Your State Your Zip Code Your Home Email Address Today's Date In the area below, please indicate why the nominee deserves consideration for the Tenia Jenkins Award. Please include documentation of up to four letters of support for this award not to exceed one page each. Example of documentation are: local unit, Region, community leaders, supervisors, co-workers, state or national leaders, etc. These can be sent separately as e-mail attachments to Ann Caruso at firstname.lastname@example.org or by mail to Ann Caruso, WEAC, Post Office Box 8003, Madison, WI 53708. Please be sure to indicate the name of the nominee on these submissions.