2020 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 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
NOMINEE INFORMATION
Nominee's Name *
Your answer
Nominee's Preferred Pronouns *
Your answer
Nominee's Title *
Your answer
Nominee's Email Address *
Your answer
Nominee's Phone Number *
Your answer
Nominee's Address *
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
Your answer
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