2020 CSJ Mary Smith Arnold Anti-Oppression Award Recommendation Form
Please use this form to nominate professional counselors and educators who have an exemplary record of challenging multiple oppressions in the counseling professions as well as in their local schools and communities.

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 challenge multiple oppressions in the counseling professions as well as in their local schools and communities? *
250 word limit
Your answer
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