NAME OF NOMINEE

							                         2012 JCJC AWARDS PROGRAM




                        VICTIM ADVOCATE OF THE YEAR

                            NOMINATION CATEGORY

                              NAME OF NOMINEE


_______________________________________________( )_________________ ________
First         M.I.             Last             Phone#               Ext:


_________________________________       ____________________________________
              County                         E-Mail Address of Nominee


                    ___________________________________
                             SIGNATURE OF JUDGE

_____________________________________________
SIGNATURE OF CHIEF JUVENILE PROBATION OFFICER


_________________________________     ___________________Ext:_______________
   NAME OF COUNTY CONTACT PERSON        TELEPHONE NUMBER OF CONTACT PERSON

___________________________________

___________________________________

___________________________________
   ADDRESS OF CONTACT PERSON




Must Be Postmarked By April 27, 2012.
Return to:
       Robert Blakely, Chairperson
       JCJC Awards Committee
       Pennsylvania Judicial Center
       601 Commonwealth Avenue, Suite 9100
       P.O. Box 62425
       Harrisburg, PA 17106-2425
:
                        VICTIM ADVOCATE OF THE YEAR

A Victim Advocate is defined as an individual who works on behalf of crime
victims as a victim advocate in a district attorney’s office, juvenile
probation department, or in a community-based agency.


                            NOMINATION CRITERIA


1.   Nominee must be employed as a Victim Advocate at the time the nomination
     is submitted.    (Date of submission is defined as the date of the
     nomination letter's postmark.)

2.   Nominations must be postmarked no later than April 27, 2012.

3.   Nominations must be typed in ARIAL font size 12pt.

4.   Nominations must be signed by the chief juvenile probation officer and
     judge.

5.   Winners from previous years may not be re-nominated in the same award
     category.

6.   Nominations must be written so the nominee's identity cannot be
     discerned by reading the narrative. The name and county of the nominee
     should only be written on the cover page.

7.   Nominations may only be withdrawn by the judge who signed the nomination
     form.

8.   Nominations must be submitted on this nomination form, using only the
     space provided. (3 PAGE TOTAL SINGLE SIDED) Attachments will be
     discarded.



PLEASE NOTE:   Nominations which do not meet all criteria will be rejected
               from the judging process.



  PLEASE LEAVE A ½ " MARGIN ON ALL SIDES OF FORM WHEN TYPING INFORMATION


               PROVIDE THIS PAGE TO WRITER OF NOMINATION

                   DO NOT RETURN THIS PAGE
                     VICTIM ADVOCATE OF THE YEAR

                              NOMINATION

I. Describe the qualities, skills, and abilities which make the nominee
   worthy of this award.    Include examples of initiative, creativity,
   leadership, innovation, capacity to solve problems and other personal
   attributes he/she exhibits as a victim advocate.
   (70 points)




                                 -1-
                        VICTIM ADVOCATE OF THE YEAR

II.   Describe how the nominee's contributions within the community, your
      program/agency and within the field of victim services have enhanced
      services to crime victims in the juvenile court.
      (20 points)




                                    -2-
                        VICTIM ADVOCATE OF THE YEAR

III. Describe a significant experience which has impacted upon the nominee's
     professional growth.
     (10 points)




                                    -3-
                         AWARDS COMMITTEE USE ONLY

               SCORING SHEET FOR VICTIM ADVOCATE OF THE YEAR
                                                                      SCORE

  I. Qualities, skills, and abilities which make nominee worthy
     of award. (70 points)                                           ______




II. Describe the volunteer experience of the nominee in the
    Community during personal time, and contributions to
    professional organizations. (20 points)                          ______




III. Most significant experience impacting on professional growth.
     (10 points)                                                     ______



                                                 TOTAL SCORE         ______




                                    -4-