Cooperman-Bogue KidsFirst Awards - 2019

Nominee: *

Nominee's Job Title *

Nominee's work phone number and e-mail if available: *

Agency/Organization where nominee works: *

Nominator: *

Nominator's job title or relation to nominee (for example, are you the nominee's supervisor, co-worker, client)? *

Nominator phone and e-mail: *

How long has the nominee been at this job? *

Describe the nominee's job duties *

0/500 words

Describe at least two incidents where the nominee has gone above and beyond job requirements to serve the children and families of Pinellas County. *

0/1000 words

Briefly describe how the nominee exemplifies the belief that the human element makes a difference in the lives of others: *

0/1000 words

Briefly tell how the nominee is an inspiration to co-workers and colleagues: *

0/1000 words

Briefly explain how nominee's efforts have helped to promote the social betterment and general improvement in the well-being of children and/or families in Pinellas County: *

0/1000 words

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