2020 CSJ Climate Justice 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
Climate justice concerns those efforts focused on the combination of environmental justice (defined as efforts to improve the lives of others in relation to climate crises) and social justice (defined as efforts to bring equity to marginalized populations in terms of opportunities and outcomes).
Describe how the nominee does the following: 1. Engages in climate justice advocacy efforts connected to marginalized individuals and/or communities, including women across the life span, youth, and indigenous communities. *
250 word limit
Your answer
In addition, describe how the nominee does at least one of the following: 2. Engaged in empowerment of marginalized individuals and/or communities in relation to climate crises. 3. Engaged in community organizing and systems change that promote climate justice action. 4. Demonstrated evidence of ongoing inclusive change in the community/communities within which the individual(s) work. *
250 word limit
Your answer
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