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 2023, taking place in-person from May 17 to 19. See last year’s recipients.

Please complete a separate form for each individual from your agency. The submission period will end on Friday, April 28.

Address of Nominee
CLINIC will only award recipients who have completed 5, 10, 15, 20, 25 and 30 years of service as of 5/15/2023. Please select the number of years the nominee has completed to be eligible for the award
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