SafeLaunch "Excellence in Prevention" Nomination Form - for Community Organizations, Cities & Counties
SafeLaunch is a 501(c)3 organization incorporated in California. Our mission is to prevent youth substance use by raising awareness that Substance Use Disorder is a preventable early onset disease which begins with use before age 18 in nine out of ten cases. Similar to wearing a seatbelt or a bike helmet, not using and substances before age 21 is a health standard.

The data driving our mission is based on 40 years of research from SAMHSA, national youth surveys, and the National Institute of Drug Abuse (NIDA).

NIDA states, "prevention programs work to boost protective factors and eliminate or reduce risk factors for drug use". There are three types of evidence based prevention programs:

1.  Universal Programs, which increase protective factors common to all youth,
2.  Selective Programs, which target youth at increased risk of use, and;
3.  Indicated Programs, which provide interventions for youth who are already using substances.

The SafeLaunch Excellence in Prevention Awards recognize organizations, cities and counties that demonstrate a strong commitment to UNIVERSAL PRIMARY PREVENTION by going upstream to protect youth from alcohol or other drug use. Awardees and their actions taken are recognized during regularly scheduled public meetings or at scheduled public events.

Showcasing organizations that have taken steps to protect youth from substance use provides a model for others to follow.

SafeLaunch accepts nominations from people working within the organization or community (self-nominating), or from a person who has experience with the organization or community.

Please fill out this form to make a nomination. Thank you!
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Your First Name *
Your Last Name *
Your Email *
Your Phone Number *
Format 000-000-0000
Name of organization or other entity that you represent, if applicable *
i.e. Your city name, Your Drug Free Coalition name, Your Boys and Girls Club name, Your nonprofit's name, etc., as appropriate
City Representative's Title and Full Name *
Name of the person who will be accepting the award on behalf of the community, i.e. Title, First name, Last name. In some cases, a specific person may be recognized for their leadership, in other cases, the city maybe be named as the nominee.
Name of Organization, city or county being nominated *
State *
Two Letter Abbreviation
Organization or City's Main Phone Number *
000-000-0000
Email of Nominee or Representative *
Website of Nominee *
Community Organization or City's website
Your Relationship to Nominee *
Please describe in a few words
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