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Michael Schaughnessy Superior Service Award Nomination Form
The Michael Shaughnessy Superior Service Award is presented throughout the year to IPCSA members who have demonstrated superior service to their department, the Association, and the Field of Probation, prior to his/her retirement. This award is selected by the Executive Board

Requirements:
Must have been a member of the Association for 10 years,
Must have been employed in probation or detention for 15 years.
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Nominee's Name *
Department Nominee Retired from *
County/Department's Address *
County/Department's Phone Number *
Nominee's Email Address *
Nominee's Retirement Date *
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Was the nominee a member of IPCSA for at least 10 years *
Was the nominee employed in probation/detention for at least 15 years? *
List the nominee's specific contributions to the field of court services. *
List the nominee's years of service, education, professional advancement, and community involvement *
List the nominee's professional affiliations *
List nominee's publications, writings, awards, recognitions, etc.
Provide any additional information which explains why the nominee should receive this award. *
Submitted by: (Name) *
Submitter's County/Department *
Submitter's Title/Position *
Submitter's Phone Number *
Submitter's Email Address *
Date Submitted *
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Submit
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