MFSC Award Nomination Form

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Award Nomination Form

Nominate a Michigan child support professional for an award for the Annual MFSC Conference. Nominations for the MFSC Fall Conference are due by September 5, 2010.

If you have questions, contact:

Ward Staffeld
ward@co.newaygo.mi.us
(231) 689-7278 work phone
Court Administrator/FOC
27th Judicial Circuit Court
Newaygo County
P.O. Box 885
White Cloud, MI 49349

Complete the online form below. If your nominee is selected for an award, your office will be notified prior to the conference.

NOMINEE INFORMATION

First Name:
Last Name:
Title/Position:
Office:
County:
Postal Address:
City:
State:
Zip Code:

NOMINEE AWARD CATEGORY

Office of Child Support
Office of Child Support Field Staff
Prosecutor / Asst. Prosecutor
Prosecutor Staff
Friend of the Court
Friend of the Court Staff
Outstanding Achievement (Program or Individual)
Family Court Judge

These awards recognize experienced individuals in the Michigan Child Support Program who have made significant contributions to Michigan's children and families. Type a brief description below of why you think the nominee (person or program) deserves an award. (500 characters or less)

Please outline the accomplishments of the person you are nominating in detail by including the following: 1) How long has this individual been involved in the child support program? 2) What has this individual done to promote more effective child support enforcement? 3) What skills and experience has this individual exhibited in the child support program? 4) In what way has the nominee shown a commitment to the child support program? 5) List the top three characteristics (personal/professional) of this person as a leader in child support.

YOUR CONTACT INFORMATION

First Name:
Last Name:
Title/Position:
County:
Phone Number:
Email Address:

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