2025 Criminal Justice Award Nomination Form

Criminal Justice Award: This award is given to a member of the criminal justice system who has exemplified true advocacy on behalf of crime victims.

Name:

First Name

Last Name

Email Address:

Phone

(###)

###

####

Nominee's full name:

First Name

Last Name

Nominee's email:

Provide up to three characteristics and indicate why they best describe the nominee:

Provide up to three examples of how the nominee has gone above and beyond the call of duty to assist crime victims (include any honors and awards received):

Did the nominee develop and or implement any new services and or programs for crime victims?

If yes, describe service or program:

Describe relationship with nominee:

OPTIONAL: In 100 words or less, please summarize your reasons for nominating this individual :

2025 Criminal Justice Award Nomination Form

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