Florida is filled with amazing Peers, Professionals, and Volunteers in behavioral health.  Please reflect on your experiences serving others and healing our community over the past year.  Which people and organizations should be recognized for their contributions and great work?

 
 
Please use this form to nominate both people and organizations who have shown exemplary work in behavioral health in our community over the past year.  You may submit as many times as you like.
 
Feel free to contact Wendy Hughes at wendy@mhajax.org or Tina Clayton at tina@mhajax.org if you have any questions.
 
Deadline for Nominations:  September 30, 2019

Question Title

* 1. For which category would you like to nominate an individual or organization?

Question Title

* 2. Please enter the Your (the nominator's) Contact Information including Name, Organization, Email and Phone Number

Question Title

* 3. Please enter the Award Nominee's contact information including Name, Organization, Email and Phone Number

Question Title

* 4. How long has the individual, program or organization been in this field?

Question Title

* 5. Why does this Nominee deserve to win this award? (If including HIPAA information, please get the individual's permission before submitting the nomination.)

Question Title

* 6. How has this Nominee made a substantial contribution to the behavioral health field?

T