Wisconsin Juvenile Court Intake Association Recognition Award

Name of Nominee

Work Email Address

Work Address

Current WJCIA member (One must be a member of WJCIA to be eligible for this award)
Yes (either attended last year's WJCIA Annual Conference OR have paid the annual $20 membership fee)
No

Current Job Title

Years of Relevant Experience (5 years is the minimum requirement for this award)

Is the nominee aware of this nomination?
Yes
No

Will the nominee be attending the WJCIA conference this year?
Yes
No

Nomination

Please indicate why you believe this person should receive this award. Recognition Award nominees will be scored in the following 3 areas: 1. Superior Job Performance (competent, reliable, creative, innovative, leadership qualities). 2. Positive Work Relationships (with co-workers, management, schools, courts, law enforcement, treatment providers). 3. Commitment to the Profession (involved in professional organizations and entities, involved in committees related to juvenile justice, involved in the implementation of programming and services, received awards or recognitions).

Additional Information

Other Attributes such as community involvement, volunteer work, church, family activities, or involvement in schools.

Your Name

Address

Phone Number

Work Email Address

*Please check Yes if you are not spam: Yes No

Award Winner Benefit

At the annual WJCIA conference, the Recognition Award winner will be presented with a plaque and acknowledged for their accomplishments in field. The WJCIA conference registration fee will be paid for by the WJCIA for the next year's conference. Only the award winner will be allowed to use the free registration.