Herb Kiesling 2023 Nomination Form
Herb Kiesling’s passion was working to ensure that every child would have an equal opportunity to develop his or her talents.  He focused his life’s work on activities that would remove barriers  to success for children in our schools.  Mr. Kiesling led a study to determine how early educators in the Monroe County Community School Corporation (MCCSC) could identify those children who were most at-risk of dropping out, and he supported efforts to provide mentors and other supports in elementary schools for those children.

The Herb Kiesling Award is proudly presented to a community member who has worked to make public policy and/or private organizations more responsive to the needs of children and youth. 

Please provide the following information for your nominee for the Herb Kiesling Award.  The award will be presented at a recognition breakfast on Tuesday, May 16th, 2023. You will be notified when the awards committee makes a decision about your nominee.  If you have any questions, please feel free to contact Jill Jolliff at jmjolliff.cvh@cjamcenter.org.  Thank you!


Nominations must be received by Monday, April 30, 2023. 
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Today's date *
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Which of the following applies to your nominee? *
Nominee Name *
Organizational affiliation (if applicable)
Nominee's Phone Number(s)
Nominee's Address
Nominee's Email Address *
NOMINATOR INFORMATION
Your Name *
Your Organization (if applicable)
Your Phone Number(s) *
Your Address
Your Email Address *
YOUR NOMINATION
Why do you believe the nominee should receive the Herb Kiesling Award? *
Describe the nominee's work and activities making him/her a candidate for this award.  Please be specific. *
Feel free to mail or drop off any additional materials in support of your nomination, such as publications, photographs, media stories, etc. to:
CJAM
205 S. Walnut Suite 16
Bloomington, IN 47404

Thank you for taking the time to nominate a member of our community for well-deserved recognition!
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