EXEMPLARY SERVICE AWARD NOMINATIONS
Exemplary Service Award Application
Applications are due no later than Friday, August 26 by 5:00 p.m. in order to be considered. Thank you.
Eligibility Criteria
- Programs/Agencies
To be considered for the award, nominated programs must be:- Providing treatment services to adolescents, adults, or special populations.
- Able to describe how the program incorporates evidence-based best practices.
- Able to document and demonstrate success by providing outcome research obtained through verifiable sources.
- In operation for a minimum of one year.
- Individuals/Group
- To be considered for the award, nominated individuals or groups must be strong treatment advocates, demonstrating good peer leadership and effective service delivery. Candidates may be professionals or volunteers.
- Media/Business/Law Enforcement Partners & Others
- To be considered for an award, nominated individuals or organizations must have made substantial contributions to the advancement or promotion of treatment and recovery.
Selection Process
The DBHR Co-Occurring Disorders and Treatment Conference Planning Committee will conduct a review process. Reviewers will evaluate all applications based on the stated criteria and information provided by the person submitting the application. Every attempt will be made to ensure that awardees represent a range of demographic, ethnic, cultural, and geographic areas.
Benefits of the Exemplary Awards
Awardees will be honored at the 2011 Co-occurring Disorders and Treatment Conference on October 4 at the Awards Ceremony. The Exemplary Awards will recognize the efforts of dedicated individuals, programs, and supportive groups/organizations by celebrating their successes, and share their strategies with others in the field.
2011 Award Categories
- Lifetime Achievement
- Outstanding Collaborator
- Innovative Adult Program
- Innovative Youth Program
- Consumer Advocate
Application Instructions
Applications must include the attached Application Cover Sheet and as many additional pages necessary to provide the requested information. Keep in mind that the information you provide will be all that the review committee has to assess the nominee’s suitability for an Exemplary Award. Applications with missing or otherwise incomplete information will not be successful. Supporting documentation may be included (such as photographs, support letters, news articles, brochures or audio or videotapes). However, applications and supporting documentation will not be returned.
Application Due
- Friday, August 26 by 5:00 p.m.
Submit Applications to:
Original Application must be postmarked, emailed, faxed, or hand-delivered to:
- Ruth Leonard
DSHS/DBHR
Mailing Address: PO Box 45330 Olympia, WA 98504-5330
Physical Location: 626 8th Ave; Olympia, WA 98503
Email: leonamr@dshs.wa.gov
Fax: 360.586.0341

