Please submit a completed electronic Nomination Request Form by Friday, October 25, 2019, 5:00 pm EDTNominations will not be accepted after 5:00 pm EDT on October 25, 2019. NO EXCEPTIONS.
Nominee Information

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* 1. Type of Nomination (check one only)

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* 3. Nominee Name (first name/last name or team name)

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* 4. Address:

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* 5. Phone Number

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* 6. Email

Nominator Information

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* 7. Name of Nominator (first name/last name)

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* 8. Work Address

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* 9. Phone Number

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* 10. Email

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* 11. Topic Areas (choose only one topic area per nomination). Choose N/A if nomination is for Ken Dunning Trauma-Informed Care Award and proceed to Question 12.

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* 12. In 200 words or less in the box below, please summarize nominee (using A-C below as a guide) based on ONE topic area as described in Question 11. Please indicate N/A above if nomination is for Ken Dunning Trauma-Informed Care Award and proceed to number 13 for the summary.

A. Based on the topic area chosen, what accomplishments qualify the nominee for this award?
B. How long has the nominee advocated for the health and wellness of New Yorkers?
C. What makes the nominee's commitment particularly outstanding?

Summary:

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* 13. Ken Dunning Trauma-Informed Care Award

In 2018, in recognition and memory of Ken Dunning, Onondaga Nation, Beaver Clan, the Ken Dunning Trauma-Informed Care Advocate Supporter Award was created. Ken was a member of the AIDS Institute's Trauma-Informed Care Initiative as well as the New York State HIV Advisory Body and Central New York HIV Care Network. He embodied the spirit and commitment of putting Trauma-Informed Care into practice every day. He reminded us of the impact of historical trauma to Native people.

The recipient of the Ken Dunning Trauma-Informed Care award will be recognized for continuing Ken's dedication and commitment to aligning the fundamentals of Trauma-Informed Care in the delivery of services to include safety, choice, collaboration, trustworthiness, empowerment and cultural competency.

In 200 words or less in the box below, please summarize one individuals' dedication and commitment to aligning the fundamentals of Trauma-Informed Care into practice.

Ken Dunning Summary: 

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* 14. Nominee's name may be made public in connection with this event. Has nominee been informed and consented to be recognized by name publicly?

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