Nomination closes: Friday, September 6, 2019

Nominee must be an individual who has demonstrated ongoing commitment to collaborating with all child-serving agencies, advocating continually for youth, young adults and their families, and furthermore impacting positive change with the Luzerne-Wyoming Counties’ System of Care Initiative.

Question Title

* 1. Name of Individual making the nomination.

Question Title

* 2. Your phone number or email address.

Question Title

* 3. Nominee's Name.

Question Title

* 4. Nominee's Role in the Community.

Question Title

* 5. Nominee's phone number or email address.

Question Title

* 6. Is the nominee aware of your nomination?

Question Title

* 7. Please describe (in detail) why this individual is deserving of this award.
Provide achievements, impacts on our community and other highlights.

T