Golden Halo Nomination Form
NOMINATIONS ARE DUE JANUARY 13, 2020
AWARDS CELEBRATION TO BE HELD APRIL 24, 2020
Best category to describe your nominee
Dept. of Social Services
Mental Health Professional
Name of your nominee
Nominee's Agency or Company
What is the nominee’s experience, professional or volunteer, related to the field of child abuse? (maximum of 1,000 characters)
Please describe how the nominee has made a difference in child abuse prevention, intervention, or advocacy in our community. (maximum of 5,000 characters)
Describe what makes the nominee’s contribution noteworthy. (maximum of 5,000 characters)
Please add any additional comments about the nominee that will be helpful in selecting the nominee for an award. (maximum of 2,000 characters)
If the selection committee needs to ask follow-up questions, would you be available for a brief phone interview? If so, please add your phone number below.
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