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2025 Response to Recovery Hero Award
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1.
Nominator Name (your name)
(Required.)
2.
Nominator Organization
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3.
Nominator Email Address
(Required.)
4.
Nominator Phone Number
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5.
Name of Nominee
(Required.)
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6.
Nominee Organization
(Required.)
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7.
Nominee Title
(Required.)
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8.
Nominee Email address
(Required.)
9.
Nominee Phone Number
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10.
Please list which organization the nominee is associated with.
(Required.)
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11.
In 1000 words or less, please describe why the nominee should receive a 2024 Response to Recovery Hero Award. Please describe ways the nominee has gone above in beyond to protect and/or provide services to children in Connecticut.
(Required.)
12.
If possible, please attach a resume or CV for the person you are nominating.
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