Excalibur Award Nomination Form

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* 1. Name of Nominee

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* 2. Nominating County/Organization

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* 3. Describe how the nominee relates to all levels of child support program.

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* 4. Describe the nominee’s insight towards the child support program.

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* 5. Describe other contributions the nominee has made to the child support program overall.

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* 6. Describe how the nominee has improved the program on a broader scope, either statewide or nationally.