2024 Family Impact Award Nomination Form

Child Support Worker who has clearly made a difference in someone’s life. This could be from helping with being homeless, unable to find employment, etc. With this award may also ask the family to put in their input to be read.

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* 1. Name of Nominee

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* 2. County of Nominee

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* 3. Describe in detail on how this nominee has made a difference in a family’s life. How did this nominee help a family identify, address, and overcome barriers?

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* 4. Provide detailed examples of agency outreach (between county/state child support programs and/or other programs) that has resulted in improved outcomes for families in the child support program.