* 1. Which awards are you nominating a professional for?

* 2. Nominee's Name

* 3. Is Nominee CCB Certified?

* 4. Please explain why nominee is worthy of this award (Do not include nominee's recovery status, this is not factored in to the decision of the committee)

* 5. Your Information

* 6. Are there additional factors the committee should be aware of?  If so, please comment below. (As above, no statement on recovery status of nominee)