Civil Rights Advisory Committee (CRAC)

							Natural Resources Conservation Service
220 Davidson Ave., 4th Floor
Somerset, NJ 08873                                                                     www.nj.nrcs.usda.gov
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              Civil Rights Advisory Committee (CRAC)
                          Award Nomination
Nominee(s) Information

Individual(s) or Group
Title
Position
Location
Submitted by


1. Summarize the long term impact of activity involved

1.


2. Describe any innovations if applicable.

2.


3. What was the scope of the effect? For example, was it county or regional and/or type of person
affected.

3.

4. Describe the amount of effort involved. Be specific if possible. For example, was there any personal
time and expense used (not required). Was the activity part of the person’s normal job or collateral job
description.
4.


5. Applicability to Civil Rights goals. For example, does the activity or event relate the CRAC Annual Plan
of operations, Affirmative Employment Plan or other similar goals.

5.



                            Deadline: Close of Business, November 1
        Send this completed form the Chair of the NJ NRCS Civil Right Advisory Committee.
 The awardee(s) will also be considered for nomination to the National Civil Rights Committee for the
 Chief’s Civil Rights Award
For Use by CRAC



___ Long term impact         ___ Reaches broad group of people
___ Innovation               ___ Amount of effort involved
___ Other                    ___ Applicable to Civil Rights Goals


CRAC Comments:




Approval and Signature
Name                         Thomas Drewes
Title                        State Conservationist
Signature
Date




version date July 30, 2007                                          page 2