AWARD NOMINATION:  Outstanding Counselor

This nomination is for an individual who has demonstrated outstanding dedication and ability in performing his/her role of preserving and strengthening families. The nominee contributes more than expected in working with youth and their families to listen, support and assist in the achievement of desired outcomes decided upon by youth and their families. The nominee also demonstrates exceptional judgment in casework and respect for families. They show client commitment through breaking new ground when working with a broad spectrum of cases. They are efficient in connecting families with outside resources needed, timely in responding to referrals and networking to help meet the demand of contract deliverables. They are always looking for a solution, not bringing just the problem. Nominees should serve in a clinical or case management capacity.

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Nominee Name & Title
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Nominator Name, Title, Agency
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How has this person contributed to the therapeutic success of the youth and families they serve?

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List a few examples of how this person exceeds your agency’s expectations.

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How does this counselor’s performance make your agency more effective?

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Please share any additional information that will help in the evaluation of your nominee.

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