Haines Turner 2019 Nomination Form
Nominations must be received by September 19, 2019. Please complete the following information for the Haines Turner Award (for contributions to the development of social justice that heals and restores). Recipients will be acknowledged at CJAM's annual fundraising event, Come to the Table, on October 18, 2019. You will be notified when the awards committee makes a decision about your nominee. If you have any questions, please feel free to contact Liz Grenat at (812) 336-8677 or cjam@cjamcenter.org Thank you!
Who are you nominating? *
Nominee Name *
Your answer
Organization (if applicable)
Your answer
Phone Number(s)
Your answer
Address
Your answer
Email
Your answer
Nominator Information
Your Name *
Your answer
Organization (if applicable)
Your answer
Phone Number(s)
Your answer
Address
Your answer
Email
Your answer
Short Essay
Please answer the following questions.
Why do you believe the nominee deserves the Haines Turner Award? *
Your answer
Describe what the nominee has done to merit such recognition. Be specific. *
Your answer
Feel free to mail or drop off any additional materials to support this nomination such as publications, photographs, media stories, etc. CJAM 205 S. Walnut Suite 16, Bloomington, IN 47404
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