2024 WV Community Organization Award for Excellence in Commitment to Addiction Care Nomination Form
For recognition at the WV Appalachian Addiction and Prescription Conference at the Embassy Suites by Hilton, Charleston, WV September 19-21, 2024.

The West Virginia Department of Human Services, Office of Drug Control Policy will review nomination forms for the Community Organization Award for Excellence in Commitment to Addiction Care. This award recognizes a community based organization that prioritizes collaboration and is working in any aspect of the continuum of care, including prevention, early intervention, treatment, recovery, and recovery support, to push the envelope in expanding access to quality addiction care in their communities. 

Directions: Please use this form to nominate an exemplary organization working in the area of addiction. You may only submit one nomination per award.
Sign in to Google to save your progress. Learn more
Email *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of State of West Virginia. Report Abuse