Official Nomination Form - Supreme Court Recognition Program - Office Of The State Court Administrator

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Supreme Court Recognition Program
OFFICIAL NOMINATION FORM
(PLEASE TYPE)
AWARD CATEGORY:
(Choose the Appropriate Award Category)
NOMINEE
: (If more than one person (team) is being nominated, attach a separate sheet
with the names, district, titles, addresses, and phone numbers of each person.)
Name:
District/Location:
Title:
Phone:
ext.
NOMINATED BY:
Name:
District:
Title:
Phone:
ext.
When the nominee is:
Written approval is required from:
→
the Clerk Magistrate or Judicial Administrator of that county court.
an employee of the county courts
the Clerk Magistrate or Judicial Administrator
→
the presiding judge of that county court judicial district.
the Clerk of the District Court
→
the presiding judge of that district court judicial district.
an employee of probation
→
the Chief Probation Officer of that district.
the Chief Probation Officer
→
the State Probation Administrator.
an employee of the Supreme Court, Court of
→
the Chief Justice, Chief Judge, State Court or State Probation
Appeals, or an employee of the State Court or
Administrator, respectively.
Probation Administrative Offices
(Date)
(Approval Signature and Title)
Attach this form to your prepared narrative description of the candidate. ELECTRONIC SUBMISSIONS ARE
ENCOURAGED. Please make sure your narrative describes the noteworthy accomplishments of this individual.
Original materials may be emailed (judy.beutler@nebraska.gov), faxed (402-471-2197), or mailed to the address
below.
Supreme Court Recognition Program
Attn: Judy Beutler
Office of the State Court Administrator
P.O. Box 98910
Lincoln, NE 68509

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