TN Conference on Social Welfare

REGIONAL ADVOCACY AWARDS  

NOMINATION FORM

 

Must be received by TCSW by September 15, 2007

 

TCSW Advocacy Awards seek to highlight the value and nature of contributions made by Tennesseans who have given of their time, creativity, and spirit within the last five years for the improvement of the quality of life for other Tennesseans.  These annual awards are given without requirements of education, profession, or membership in TCSW, but the awards must meet the following criteria:

 

* Major advocacy accomplishment(s) within the last five (5) years;

* Specific benefit(s) for Tennesseans as illustrated by the impact on one family, one population, or several population across service sectors; and

*Great personal investment (time dedication, level of creativity, and spirit) by nominee.

How to Nominate

 

There are two categories for which we are accepting nomination, so you may make two different nominations:

1)   Professional: An individual whose profession in the social welfare field involves advocacy on a regular basis BUT who has demonstrated advocacy efforts and achievements far beyond those of a routine nature; or

2)   Volunteer: An individual who is a citizen (not employed in the social welfare field) and whose accomplishments clearly indicate achievements in the field of advocacy on a social welfare issue or issues.

 

Any member of TCSW may nominate a candidate for the awards.  Candidates will be screened by the regional steering committees of TCSW, winners for each region will be selected, and the awards will be made at 2007 Fall Regional Training Conferences.  The Regional winners will then be submitted to the TCSW Board of Directors (or a designated committee), and a recipient(s) will be selected to receive the state award(s) to be presented during the TCSW Annual Spring Training Conference in Nashville in Spring 2008.

 

To submit a nomination: COMPLETE AND MAIL, FAX OR EMAIL THIS FORM BY SEPTEMBER 15, 2007, to TCSW, 2008 8th Ave. S, Nashville 37204,  Fax (615) 313-9981, or email  info@tcsw.org. 

Be sure to fill in ALL required information below. We cannot consider nominees without this information provided

Specify the following about your Nominee:

1) List accomplishments within the last 5 years. 

 

2) How did these accomplishments benefit Tennesseans? 

3) Did these accomplishments impact one family, one population, or several populations across service sectors? 

4) Assess your reasons for nominating this person considering the time spent, the level of creativity, and the spirit of your nominee.


Nominee

 

(Select ONE category ONLY)

____ Professional Advocacy Award            ____Volunteer Advocacy Award               

 

Nominated For:_________________________________________________________  

Nominee:                                                                                                     

 

Title/Agency (if any):                                                                                                                          

 

Address:                                                                                                                       

 

City:                                                                 State:             

 

Zip:                                                                             

 

Telephone: (_____)                                

 

FAX:(_____)                             E-mail:                                                             

 

Nominated By

 

(Select ONE category ONLY)

___ Professional Advocacy Award            ____Volunteer Advocacy Award      

 

Name_________________________________________________________

                                                     

Title/Agency (if any):___________________________________________________

                                                                                   

Street Address:_______________________________________________________

City:                                   State:              

 

Zip:                                                     

                                                           

Telephone: (            )                                  

 

FAX: (_____)                                        


E-mail:________________________________________________________

 

  

Use this form and nominate today!

To submit a nomination: COMPLETE AND MAIL, FAX OR EMAIL THIS FORM BY SEPTEMBER 15, 2007, to TCSW, 2008 8th Ave. S, Nashville 37204,  Fax (615) 313-9981, or email  info@tcsw.org.