25^th Anniversary Breakfast Conference Award Nominations

Nominee for Cesar Batalla Community Service Award

Name of individual:  _____________________________________________________

Contact information: _____________________________________________________

• How has s/he demonstrated a long-term concern for and involvemnet in enhancing the quality of life  for children and their families in Bridgeport?

• What results has s/he achieved in neighborhood, city, regional or state level?

• How has s/he gone above an beyond paid work to show concern?

• What is your relationship and/or how do you know him/her?

Nominee for Jan Park Child Advocacy Award

Name of individual: ______________________________________________________

Contact information: ______________________________________________________

• How has s/he demonstrated an understanding of the imprortant role of advocacy and community mobilization?

• What example of passionate advocacy for policy and systems change to improve the lives of children and their families can you give?

• How has s/he shown a borad perspective and vision for change?

• How/where does this person volunteer and/or go above an beyond his/her job to promote advocacy?

• What is your relationship and/or how do you know him/her?

Your name: ______________________________   Date: __________________________

Return by February 11, 2010 to conyemelukwe@bcacct.org, or by mail/hand.  Use additional pages if you wish.