Rising Star Award Nomination Form

Each year we celebrate clients whose growth, resilience, and achievements inspire our staff and community. Use this form to nominate a client you believe deserves recognition at this year’s Rising Star Award Night.

A nomination alone does not authorize sharing the client’s name, image, or story publicly. Recognition at the event requires the client’s informed consent.

 

    Client Name

    Primary Case Manager/Worker

    Program/Service Area

    Current Program Status

    Length of Time Receiving Services

    Your name

    Title/Role

    Program/Department

    Email

    Phone

    Date Submitted

    Why does this client stand out? (Check all that apply.)

    Tell us this client's story. Consider: What challenges did they face? What progress or milestones have they achieved? How have they grown? Why do they inspire you?