CSJ Mary Smith Arnold Anti-Oppression Award Recommendation Form

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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 1, 2024

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.

For any questions, email awards@counseling-csj.org

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 *

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

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