2020 CSJ Outstanding Counseling Program/Agency Award Recommendation Form
Please use this form to nominate a counseling or psychology program/agency that reflects the mission of CSJ in their training of future counselors, work in the community, advocacy, etc. Programs or Agencies nominated for this award should demonstrate outstanding pre- service and/or in-service training in areas such as: social justice counseling, multicultural counseling, advocacy, and counseling socially and culturally diverse populations.

DEADLINE: February 29, 2020

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. Self-nominations are encouraged.

For any questions, email awards@counseling-csj.org
NOMINATOR INFORMATION
Nominator's Name *
Your answer
Nominator's Preferred Pronouns *
Your answer
Nominator's Title *
Your answer
Nominator's Email Address *
Your answer
Nominator's Phone Number *
Your answer
Nominator's Address *
Your answer
CONTACT PERSON INFORMATION
Name of Contact Person *
Your answer
Title of Contact Person *
Your answer
Email Address for Contact Person *
Your answer
Phone Number for Contact Person *
Your answer
Address for Contact Person *
Your answer
Please acknowledge that you will email the following to awards@counseling-csj.org
Use the email subject: 2020 PROGRAM/AGENCY AWARD NOMINEE
LETTER OF NOMINATION (1000-2000 words): Highlight the distinctive practices within the program or agency that make it an outstanding program, including at least two of the areas listed above (i.e., e.g., social justice counseling, multicultural counseling, advocacy, and counseling socially and culturally diverse populations) *
Optional - additional material (2 to 4 items) that highlight the accomplishments or uniqueness of the program/agency and the students/practitioners. Examples: awards and honors, letters of appreciation, notable examples of high-impact service activities and how your program/agency made a difference, blogs, flyers, links to supportive web-site pages that provide information about the program/agency, etc.
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