William "Sonny" Walker Self-Sufficiency Award Nomination Form

William "Sonny" Walker Self-Sufficiency Award

Nomination Form

ELIGIBLE RECIPIENT

The award will be presented to a Member Organization of SEACAA or one whose interests SEACAA represents, not an individual, although individual leadership will spur the award-winning achievement(s).

Nominee Information

* Agency Name:

0/50

* Agency Address: (Street address, City, State, Zip code)

0/250

* Agency Phone Number:

0/50

* Agency Contact Person: (This is the individual we will reach out to should we need additional information regarding the nominee.)

0/50

Please use the spaces provided below to briefly describe (1) your organization as well as provide (2) a brief description or name for the program or project to be considered during the specified (3) period of activity from August 2021 through July 2022. Provide a description of the (4) problem/dependency situation addressed by the project or program. Provide a brief (5) description of the program or project designed to overcome the problem/dependency situation. Finally, (6) provide a brief summation of the results realized through this program or project.

* Briefly describe your organization:

0/500

* Provide a brief overview of the project or program being considered:

0/500

* Provide the period of activity for this program or project: (Please note it must fall within the August 2021 - July 2022 period to be considered for this award.)

0/500

* Describe the problem/dependency situation. Explain the problem your program was designed to address:

0/500

* Describe the program or project your agency designed to overcome the problem/dependency situation:

0/500

* Provide a brief summation of the results realized through this program or project:

0/500

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