JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Nominate Your CHAMPION
Springfield Turning Point is hosting an online Recovery Awards Gala (think "the Oscars" for Recovery Service Providers. To qualify, nominees must serve in Windsor or Windham county, VT. Please include your voice in the nomination process.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Champion Name
*
Who are you nominating?
Your answer
Award
*
Which award are nominating them for?
LIFETIME ACHIEVEMENT AWARD: recognizing an individual whose career of dedicated service to those seeking recovery from SUD, trauma, and/or reentry from incarceration to the community serves as an inspirational and example.
CERTIFICATE OF EXCELLENCE: SYSTEMIC IMPROVEMENT: recognizing individuals or organizations whose work has directly contributed to systems level change in the: quality, quantity, effectiveness, or availability of services or resources in the community.
CERTIFICATE OF EXCELLENCE: DEDICATED SERVICE: recognizing individuals or organizations whose devotion to service have created significant impact for the community.
CERTIFICATE OF EXCELLENCE: INNOVATION: recognizing an individual or organization whose thinking, advocacy, and/or action have led to new approaches, initiatives, or availability of resources in the community.
CERTIFICATE OF EXCELLENCE: PEER SUPPORT: recognizing individuals who's consistent application of Peer Support principles serve as an inspiration and example.
Required
Description
*
Tell us what is special about them.
Your answer
Champion Organization
*
Where do they currently work?
Your answer
Contact Name
*
Your name
Your answer
Contact Phone
*
Your phone number
Your answer
Attendance
*
Would you like to attend?
In Person (with social distancing and safety precautions)
Online
Neither, I'll just watch the broadcast
Required
Notes
Anything else you want to add
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Turning Point Recovery Center.
Report Abuse
Forms
