INSPIRE Awards Nomination: Charles Roy Award for Activism in HIV/AIDSPlease enable JavaScript in your browser to complete this form.Your Full Name (You are the "Nominator") *FirstLastYour Email Address *EmailConfirm EmailYour phone number *How do you know the person who you are nominating? *Full name of the person you are nominating (the "Nominee")? *FirstLastNominee's email or next of kin email (if available). *EmailConfirm EmailNominee's email or next of kin phone number (if available). *Describe the contribution your Nominee has made. To assist us in deciding please include relevant dates and any other relevant information, if possible. Please agree to complete the fields below to the best of your ability or with information available to you. *YES, I agree.Tell us about the person you are nominating. *What was their impact or involvement on the HIV/AIDS community? *If the person you are nominating has received any awards or honours, please list them here. *NameSubmit
