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  AJS Kathleen M. Sampson Access to Justice Award Nomination From Your location: AJS Main Site :: Access2Justice Nomination

Kathleen M. Sampson Access to Justice Award Nomination Form

 
Individual or Organization's contact information

Name of the nominee /  organization:

Title:

Address:

City:

State:

Zip:

Telephone number:

E-mail address:
 
Nominee or Organization's professional and community outreach involvement

List all titles, positions, committee activities or if an organization any community outreach or activities the organization has been active with.

 
Access to Justice
Name key contributions and the role the nominee or organization has played in each.
 
Nominator / Organization’s statement
Describe why you believe this candidate or organization is deserving of the Access to Justice Award and/or provide quotes or descriptive phrases made by others.
 
Required signatures:
 
Nominator:      
 
  
 
  (print name)   (signature)   (date)
             

 
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