Years of Service Award Nomination Form

Each year, during our annual conference, CLINIC recognizes the commitment and dedication of individuals who have served in immigration for exactly 5, 10, 15, 20, 25, or 30 years. Award recipients will be recognized during CLINIC Convening 2021, taking place virtually from May 17 to 20. See last year’s recipients.

Please complete a separate form for each individual from your agency. The submission period will end on Friday, April 16.

Address of Nominee
One file only.
8 MB limit.
Allowed types: gif jpg png.
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