Which awards are you nominating a professional for?

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

Nominee's Name

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* 2. Nominee's Name

Is Nominee CCB Certified?

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* 3. Is Nominee CCB Certified?

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)

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* 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)

Your Information

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* 5. Your Information

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

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* 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)

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