Trailblazer Awards Nomination Form - Eventbrite

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Carroll Smith, Sr. Mary Ignatia and Dr. Bob Smith, but also to provide a forum to ... Maggie Carrol Smith was the Founding President of the National Alliance for ...
Trailblazer Awards Nomination Form In 2007, the County of Summit Alcohol, Drug Addiction and Mental Health (ADM) Services Board established awards in honor of five individuals who are recognized as being trailblazers and advocates in the mental health and addiction services field. This award process is intended not only to honor the original honorees which included Drs. Fred and Penny Frese, Maggie Carroll Smith, Sr. Mary Ignatia and Dr. Bob Smith, but also to provide a forum to recognize individuals who emulate their example and service. The ADM Board is calling for nominations of individuals who have followed in their footsteps for each of these four trailblazer awards. Maggie Carroll Smith Award Maggie Carrol Smith was the Founding President of the National Alliance for the Mentally Ill of Summit County. She was admired for being a tireless advocate on behalf of those who have a mental illness and their families and worked to make the mental health system more responsive and accountable. Individuals nominated for this award will have demonstrated a passion for people in recovery and have served as a change agent focused on results. Drs. Fred and Penny Frese Award The Drs. Fred and Penny Frese award recognized their efforts to continue to make a real difference in breaking down barriers against the stigma of mental illness through their ongoing education and advocacy. Individuals nominated for this award will have helped to educate others and decrease the stigma that affects those with mental illness and addiction. Sister Mary Ignatia Award Sister Mary Ignatia, also known as the Angel of Alcoholics Anonymous, was a pioneer in hospital-based treatment for alcoholism and admired for her insight in recognizing alcoholism as a disease. Her belief in the human spirit and quiet compassion benefited countless people. Individuals nominated for this award are known for their compassion, have not sought the spotlight, but will have made contributions “behind-the scenes”. Dr. Robert Smith Award Dr. Bob Smith, one of the founders of Alcoholics Anonymous, believed in the basic worth of each human being and gave a gift to people worldwide who have struggled with the disease of alcoholism. He understood that the disease is very difficult to battle but also knew that recovery was possible through a program designed around 12 specific steps. Individuals nominated for this award are known for their innovation, offering hope and for inspiring change in others.

Name of person making the nomination: ______________________________ Telephone (_____) ________________ Email _____________________________ Individual(s) being nominated: ________________________________ Telephone (_____) ________________ Email _____________________________

I am nominating the above named individual(s) for consideration for the following award (Please circle) Maggie Carroll Smith Award Drs. Fred and Penny Frese Award Sister Mary Ignatia Award Dr. Robert Smith Award

Please describe how the individual(s) being nominated emulate the example and service demonstrated by the five individuals recognized by the original awards.

Nomination deadline: Please submit your nomination no later than October 7th, 2011. Nominations will be accepted by fax: 330-252-3024 or via email: [email protected] Questions? Please contact Andrea Denton – 330-564-4053