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

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

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

Submit Applications to:

Original Application must be postmarked, emailed, faxed, or hand-delivered to: