NPJS Good Works Recognition Program
NOMINATION FORM

PLEASE REVIEW

Incomplete applications may result in the nomination not being reviewed. Please provide all the requested information and as much detail in Question 3 as possible to justify why this recognition is deserved.

*1.I'm making a nomination for the following category:
NPJS office will make final review and determination of category.(Required.)

Advancing Fair & Equitable Justice

Advocacy (Intended to recognize the efforts of local, state, & federal policymakers, community groups, nonprofits, or individuals to strengthen the JJ system)

Behavioral Health / Clinical Services

Community-Based Programs

Court Services

Detention/Shelter Services

Educator or Education Program (Working with At-Risk or Delinquent Youth)

Family Engagement & Support

Juvenile Corrections / Residential Services

Leadership & Vision (Resulting in JJ Systems Improvement)

Research (Intended to recognize emerging issues, data-driven processes, and key research in the JJ community)

Staff Training & Professional Development (Exemplary Trainers or Innovative Programs)

*2.NOMINEE INFORMATION (provide key information on person/agency being nominated)(Required.)

Name of Individual or Agency Being Nominated:

If Individual was nominated, please include agency of employment here

City

State

Phone

*3.DETAIL - Explain why this individual or agency is deserving of this recognition (provide as much detail and rationale as possible):(Required.)

4.Upload photo of individual being nominated.

No file chosen

*5.NOMINATOR INFORMATION - Please provide YOUR contact information in case the review committee needs to request more info.(Required.)

Your Name *

Your Job Title *

Agency

City/Town *

State *

Country *

Email Address *

Phone Number *

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NPJS Good Works Recognition ProgramNOMINATION FORM

PLEASE REVIEW

NPJS Good Works Recognition Program
NOMINATION FORM