Lifetime Acheivement Award Nomination Form

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* 1. Name of Nominee

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* 2. County

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* 3. Describe the work the nominee has done to enhance child support program, both/either within their county, or statewide

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* 4. Describe any volunteerism and/or community outreach the nominee directed or participated in that is designed to improve the child support program.

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* 5. “The Mission of the Colorado Child Support Services Program is to assure that all children receive financial and medial support from each parent. This is accomplished by locating each parent, establishing paternity, and support obligations, and enforcing those obligations.”

· Describe how the nominee has exemplified the CSS mission statement.

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* 6. Describe why this nominee should be recognized for the Lifetime Achievement Award