The “Go To Bat” Award is presented by the Michigan Association of Community Mental Health Boards to an individual outside of the public mental health system (DCH or CMH) who exemplifies extraordinary concern, advocacy or leadership aimed at improving the quality and quantity of community-based mental health services for persons with mental illness and developmental disabilities in Michigan. (Note: “Outside of public mental health refers to an individual who cannot be receiving monetary compensation from the CMH system).
Nominations may be submitted by any of the following member groups:
- A CMH Board
- The MACMHB Executive Board
- An Affiliate Member
- An Association Region
- An Association Standing Committee
Name of Nominee
Nominated by
Nominee's Address
Address
City
State
Zip
Home Phone
Business Phone
Nominee's Occupation and Place of Employment:
List community service or professional organizations with which the nominee is or has been affiliated. Please include the nominee's relationship to each organization.
Please provide a description of the nominee's contribution to improving community-based public mental health services in Michigan.
To be considered, all nominations must be submitted on this form, or a copy of same, to: Michigan Association of CMH Boards, 426 South Walnut, Lansing, MI 48933 or Fax: 517-374-1053. THE DEADLINE FOR NOMINATIONS IS NOVEMBER 1, AT 5:00pm. All nominations will be submitted to the Member Services Committee in care of the Association office. Award recommendations will be based on the quality of this description, its support information and attachments, not the number of nominations an individual receives. The award will be presented during the Association's Winter Conference.
For more information, please contact Georjean Knapp at 517-374-6848 or e-mail
gknapp@macmhb.org.
