This form is for the submission of awards nominations. A description of each award is included below.

The Innovative Program Award
This award recognizes a program that is “cutting edge” and enhances recovery.
Programs eligible must meet the following criteria:
1. Must have originated in Kansas.
2. Be a new program within the past two (2) years.
3. Focus upon enhancing recovery.
4. Be worthy of upholding as a model.

Unity Award
This award recognizes those who have successfully united consumers and non-consumers for enhancement of their recovery in a cooperative manner. Nominations for this award will be accepted from consumer-run organizations, mental health centers, clubhouse programs, individual consumers, and mental health treatment providers.

NOTE TO TREAMENT PROVIDERS AND TREAMENT PROVIDING AGENCIES: As a mental health provider, in order to consider an
individual’s story as a nomination for an award, a release form is required and must be signed by the nominee and included with the nomination form. Nominations from treatment providers that do not include release forms may not be considered and will be returned.

Su & Dennis Budd Exemplary Life Award
This award was initiated to honor two very special consumers whose leadership and advocacy efforts have shaped the consumer experience in Kansas. This annual award is given to a consumer whose energy and spirit stands out and who encourages and inspires others on their recovery journey.

Persons eligible must meet the following criteria:
1. Be a Kansas consumer.
2. Demonstrate outstanding service to Kansas consumers, locally, or statewide.
3. Promote the values and ideals of recovery.

Chamberlain-Rapp Exemplary Leadership Award
The Chamberlain-Rapp Exemplary Leadership Award is given annually to a mental health provider who has exhibited outstanding leadership skills on behalf of Kansas consumers and the recovery movement in the state.

Persons eligible must meet the following criteria:
1. Be a Kansas mental health service provider.
2. Demonstrate outstanding service on behalf of Kansas consumers, locally, or statewide.
3. Promote the values and ideals of recovery.

Heidi Brandenberger Servant Leadership Award
This annual award is in honor of a very special person whose selfless work behind the scenes, available shoulder to lean on, and unwavering devotion to the consumer movement has helped many on their recovery journey. This award is given to a person who gives without expectation, whose presence lends strength and dignity to others, and who never doubts ‘we can do it’, inspiring leadership from those who thought they could never lead.

Persons eligible must meet the following criteria:
1. Be a Kansas resident.
2. Demonstrate servant leadership to or on behalf of Kansas consumers, locally or statewide.
3. Promote the values and ideals of recovery.

Gary J. Parker Dedication, Leadership and Friendship Award
Given annually to a consumer who exhibits the following qualities:
1. Promoting the cause of human dignity
2. Commitment to the consumer movement
3. Bringing partnerships and people together
4. Inspires others to act/adventure “outside the box”
5. Dedicated volunteerism
Certified Peer Specialist of the Year Award
Awarded annually to a Certified Peer Specialist who has consistently gone above and beyond the call of duty. This person is an excellent model of the recovery principles. The person who received the Certified Peer Specialist of the Year Award has done exceptional work with helping peers with mental health and/or substance use disorders on their journey, while moving forward in their own recovery.

Persons eligible must meet the following criteria:
• Be employed as a Certified Peer Specialist in Kansas.
• Upholds the ethics and standards of a Certified Peer Specialist.
• Models the principles of recovery.
• Goes above and beyond the call of duty in serving their peers in recovery.

Excellence in Media Award
Recognizes journalists, media outlets, television and film programs who excel in their coverage and portrayal of mental health issues in the news and entertainment media.

The eligibility criteria for this award includes:
1. The individual or business must be in the State of Kansas.
2. Nominee should help further education and stigma reduction through their coverage and portrayal of mental health issues.

Kansas Businesses that Care Award
This award is given to a business that promotes the mental health of its employees, stakeholders and community.

Businesses eligible must meet the following criteria:
1. The business must operate in Kansas.
2. Business practices and policies should reflect the promotion of mental health for employees, stakeholders, and community.

iLead Award
The iLead award celebrates the life of a youth or young adult who has served their peers through mental health advocacy and education in an effort to further recovery and fight stigma.

Persons eligible must meet the following criteria:
1. Be a consumer living in the State of Kansas
2. Age 25 years or younger
3. Demonstrate outstanding service to their peers through their efforts in advocacy and education

Question Title

* 1. Please select the award(s) you would like to submit a nomination for (select all that apply)

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