The NASW/CT Latino/a Social Workers Network 2018 Annual Recognition Dinner- Nomination Form
Each year, the NASW-CT chapter's Latino/a Social Workers Network Annual Recognition Dinner recognizes and celebrates Latino/a social workers in a specific practice area of social work. The Latino/a Social Workers Network's mission is to provide a professional network for Latino/a social workers and others interested in issues relevant to Latino/a social
workers and the Latino/a community, to meet for sharing of mutual interests, and to address issues of concern to the Network members within the framework of the social work profession.

This year, the Annual Recognition Dinner will recognize and celebrate Latino/a social workers who have been National Association of Social Work (NASW) members for 25 or more years. This event is attended by social workers, family, friends, and the community at large. This event is co-sponsored by the NASW/CT Latino/a Social Workers Network and the University of St. Joseph.

Please complete the form below to nominate a Latino/a social worker in Connecticut who you know has been an NASW member for 25 years or more. All nominees must be current NASW members. Event registration costs for nominees are sponsored by the NASW/CT Latino/a Social Workers Network.

You're invited! ¡Te invitamos!

Event Date and Time: Monday, March 26, 2018, 5:30PM-7:30PM
Event Address: Crystal Room (1st Fl.), Mercy Hall, at the University of Saint Joseph, 1678 Asylum Avenue, West Hartford, CT 06117
Registration Cost (includes dinner and dessert): $25 for NASW members / $15 for students with ID
(You do not need to be an NASW member to attend)

Register by March 19th by going to
Questions? E-mail

Your First and Last Name *
Your answer
Your E-mail Address *
Your answer
Your Phone Number *
Your answer
First and Last Name of Nominee: *
Your answer
Nominee's E-mail Address: *
Your answer
Nominee's Phone Number: *
Your answer
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