EmailMe Form - NASW-FL Miami-Dade Annual Awards Nomination Form

Category: *

Social Worker of the Year (See note 1 below.)

Social Work Student of the Year (See note 2 below.)

Social Work Educator of the Year (See note 3 below.)

Public Citizen of the Year (See note 4 below.)

Elected Official of the Year (See note 5 below.)

Agency of the Year(Unit Specific Award)

Humanitarian of the Year (Unit Specific Award)

Lifetime Achievement Award (Unit Specific Award)

1: Must be a professional social worker and NASW-FL member in good ethical standing.

2: Must be a current NASW-FL member and enrolled in a CSWE-accredited social work program in Florida.

3: Must be a current NASW-FL member who is affiliated with a CSWE-accredited social work program in Florida as a faculty member, adjunct, or field instructor.

4: Must not be a social worker or have a degree in social work.

5: Must be an official currently serving in Florida elected office at the local, state, or federal level.

6: Agency of the Year; Humanitarian of the Year and Lifetime Achievement Award are Miami-Dade Unit awards. Contact the local chair: miamidade.naswfl@socialworkers.org for more information.

Nominee's Information

Please tell us a bit about the person you're nominating.

Name and Credentials: *

Preferred Phone: *

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Alternate Phone:

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Nominees Contact E-mail:

Nominator's Information

The information below will be used to contact you should we have any questions about your nominiation.

Can we tell the nominee who nominated them? *

Yes

No

Your Name: *

Preferred Phone: *

### - ### - ####

Alternate Phone:

### - ### - ####

Nominator's Contact E-mail: *

Evaluation Questions:

Why do you believe the nominee is worthy of receiving this award? *

What has the nominee accomplished or what leadership has the nominee demonstrated on issues of concern to the social work profession? *

How has the social work profession and people served been impacted by the nominee's actions? *

How does the nominee exemplify social work values and ethics? *

Nomination Letter *

First Letter of Support *

Second Letter of Support

Nominee's Resume / CV *

Other Information You Want to Include

The deadline for submitting a nomination is January 19, 2018.

To ensure the nominee’s eligibility, please fill out this form completely and use clear, concise, descriptive examples of activities and accomplishments. Incomplete submissions may be rejected at the discretion of the Committee. The unit’s Chapter Committee on Nominations and Leadership Identification (CCNLI) selects and approves the award recipient.