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-more at NAMI.org-
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NAMI Greater Cleveland Call for Nominations

NAMI Greater Cleveland (NAMI GC) is pleased to announce a call for nominations
for outstanding achievement in promoting and providing mental health services for individuals,
families and organizations in the year 2014. The awards will be presentedat the
2015 NAMI Greater Cleveland Annual Meeting in April.

AWARD CATEGORIES  Please check only one

 The Scott Adamson Memorial Peer Award

Recognizes a person affected by mental illness who has provided
exemplary service on behalf of peers.

 Mental Health Family/Caregiver Award

Recognizes a family member who excelled in helping loved ones
with a mental illness to improve their quality of life.

 Cultural Competence in Mental Health Award

Recognizes a peer, family member, professional or organization
that has demonstrated excellence in working with minority populations
in the mental health field.

 Mental Health Provider Award

Recognizes a professional who demonstrates outstanding commitment
in service to the community on behalf of those with a mental illness.

 Eugene Brudno Memorial Organization Award

Recognizes an organization that provides outstanding service for those
with a mental illness and family members.

PERSON/ORGANIZATION YOU ARE NOMINATING

NAME __________________________________________________________________________________

ADDRESS _______________________________________________________________________________

CITY, STATE, ZIP ________________________________________________________________________

PHONE ____________________________________ EMAIL ______________________________________

ORGANIZATION _________________________________________________________________________

NAME OF PERSON NOMINATING (YOUR NAME BELOW)

NAME __________________________________________________________________________________

ADDRESS _______________________________________________________________________________

CITY, STATE, ZIP ________________________________________________________________________

PHONE ____________________________________ EMAIL ______________________________________

ORGANIZATION ________________________________________________________________________

EXPLANATION OF NOMINATION
(On the back of this form or on another piece of paper, please
write the answers to the following questions.)

· What contribution did this person or organization make in service to mental health in
2013 that merits recognition?

· What is unique about their contribution and why at this time?

· Tell us a little bit more about this individual/organization?

NOMINATIONS ARE DUE TO THE NAMI GC OFICE NO LATER THAN MONDAY,
January 28, 2015 BY EMAIL OR REGULAR MAIL.

Please e-mail this form to Michael Baskin at mbaskin@namicleveland.org or
mail to
NAMI Greater Cleveland,
Attn: M. Baskin,
2012 West 25
th St., #600, Cleveland, OH 44113

Honorees for their work in 2013:

  • The Scott Adamson Memorial Peer Award - Ben Seeley
  • Mental Health Family/Caregiver Award - Loretta Daws
  • Cultural Competance in Mental Health Award -Ron Robinson, LSW,
    Case Manager/Therapist Beechbrook
  • Mental Health Provider Award - Jennifer Kruse, Executive Director, Living Miracles Peer Empowerment Center
  • Eugene Brudno Memorial Provider Award - Cleveland Center for Eating Disorders

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