2019 CSJ ‘Ohana Honors Awards Recommendation Form
Please use this form to nominate professional counselors and educators who have made significant contributions in affirming diversity and advocating for social justice.

DEADLINE: February 15

IMPORTANT: THIS FORM CANNOT BE SAVED
We recommend you review the application content and make sure that you have all information prepared to complete the application.

For any questions, email awards@counseling-csj.org

Email address *
Name *
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Title *
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Address *
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Telephone number
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Email address *
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Nominee Information
Nominee Name *
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Nominee Title *
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Nominee Address *
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Nominee Email address *
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Nominee ACA Division(s) Membership *
Your answer
How does this person’s life and work affirm diversity, advocate for social justice, and demonstrate the ‘Ohana qualities of caring, humility, intelligence, generosity, integrity, honesty, unconditional love, spiritual power, courtesy, and courage? *
250 word limit
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