New York Association of Psychiatric Rehabilitation Services
Call For 2012 Award Nominations
Please help us honor the very special achievements of recognized or emerging leaders in our joint efforts to promote recovery, rehabilitation and rights, to be presented at our 30th Annual Conference in September.
Directions: Select the award category for your nomination. Complete the Nominee Information section and the Nominator Information section. Complete the Nomination Narrative by submitting a short narrative (1 page or less typed) that outlines the Nominee’s contributions related to the proposed award category.
BRENDAN NUGENT LEADERSHIP AWARD. The Brendan Nugent Leadership Award is presented to an inspiring consumer leader in promoting and advocating for the empowerment of people with psychiatric disabilities in New York State.
FRANCES Olivero ADVOCACY AWARD. The Frances Olivero Advocacy Award is presented to an individual who has demonstrated inspiring community leadership and unique contributions in advocacy around a particular issue on behalf of New Yorkers with psychiatric disabilities.
LIFETIME ACHIEVEMENT AWARD. The Lifetime Achievement Award is presented to an individual who has a long record of exemplary contributions to the recovery, rehabilitation and/or rights of New Yorkers with psychiatric disabilities.
MARTY SMITH MEMORIAL AWARD. The Marty Smith Memorial Award is presented to a uniquely inspired and dedicated provider who has demonstrated exemplary contributions to the advancement of best practices in service to New Yorkers with psychiatric disabilities.
PARTNERS WITH FAMILIES AWARD. The Partners with Families Award is presented to an individual who has demonstrated inspiring leadership in the advancement of the alliance of families and consumers in promoting the recovery, rehabilitation and rights of people with psychiatric disabilities.
PUBLIC EDUCATION/MEDIA AWARD. The Public Education/Media Award is presented to an individual inside or outside of the media who has demonstrated extraordinary public education efforts that advance the needs of and/or that highlight the accomplishments of New Yorkers with psychiatric disabilities.
PUBLIC POLICY LEADERSHIP AWARD. The Public Policy Leadership Award is presented to a legislator who has demonstrated outstanding public leadership on behalf of New Yorkers with psychiatric disabilities.
FAITH & FELLOWSHIP AWARD. The Jason Brody Award is presented to an individual who has been an extraordinary source of kindness, caring and devotion to people within their mental health community.
Quincy Boykin Memorial Award. The Quincy Boykin award is presented to a person in heartfelt recognition of your inspiring contributions to the recovery, empowerment, integration and inclusion of all New Yorkers with psychiatric disabilities
New York Association of Psychiatric Rehabilitation Services
2012 ANNUAL AWARDS NOMINATION SUBMISSION FORM
Instructions: Please Type or Print. Please complete the
“Annual Awards Nomination Submission Form” below and
return it no later than Friday, August 3, 2012email to: mary@nyaprs.org
If you have questions, please call Mary at NYAPRS 518/436-0008 x23.
Return completed nominations by August 3, 2012 to:
Award Category:
______ Brendan Nugent Leadership Award
______ Frances Olivero Advocacy Award
______ Lifetime Achievement Award
______ Marty Smith Memorial Award
______ Partners with Families Award
______ Public Education/Media Award
______ Public Policy Leadership Award
______ Jason Brody Faith & Fellowship Award
Nominee Information:
Nominee Name:
Affiliation:
Phone #:
Fax #:
Email:
Nominator Information:
Nominator Name:
Affiliation:
Address:
Phone #:
Fax #:
Email:
Nomination Narrative: I hereby nominate _________________________ to receive this award because of his/her contributions related to the award, as follows: