CSJ Climate Justice Awards Recommendation Form
Please use this form to nominate a professional counselor whose efforts are focused on the climate justice, a 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)

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 accepted.

DEADLINE: February 1, 2024

For more information, visit www.counseling-csj.org/awards--grants. For any questions, email awards@counseling-csj.org
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NOMINATOR INFORMATION
Nominator's Name *
Nominator's Preferred Pronouns *
Nominator's Title *
Nominator's Email Address *
Nominator's Phone Number *
Nominator's Address *
NOMINEE INFORMATION
Nominee's Name *
Nominee's Preferred Pronouns *
Nominee's Title *
Nominee's Email Address *
Nominee's Phone Number *
Nominee's Address *
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
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
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