AKOMA Awards Nomination Form

Awards Nomination

Please fill out this form to nominate for an award. Please use a separate sheet of paper to complete this form. Return the form and letter to Janice Chambers at 1226 E. 79th St., Cleveland, Ohio 44103 or Jcumadaop@aol.com

Nomination deadline is August 1, 2024

Choose the Award
Please select which category you are recommending the person for. (Limit selection to one category per person:)*

Treatment Professionals (e.g.,Counselors, Therapists, Social Workers)Administrative Professionals (e.g., Directors, Admin Staff)Recovery Peer Supporters ( e.g.,Sponsors, Peer Supporters)Community Supporters (e.g., Faith Based/Community org., Businesses, Individuals, Volunteers)

Nominee Information
Nomination Letter

The letter should be two paragraphs in length or more.

Guidelines:

1.   Salutation: Begin the letter with a formal salutation, addressing the recipient appropriately.

Introduction: Introduce yourself and your role or position. Clearly state the purpose of the letter and the nomination.

2.   Background and Relationship: Provide information about your relationship with the nominee. Explain how you know them, the context in which you have interacted or worked together, and your capacity to assess their qualifications.

3.   Nominee’s Qualifications: Highlight the nominee’s qualifications, skills, and relevant experiences. Discuss their achievements, certifications, educational background, and any notable contributions they have made.

4.   Impact and Accomplishments: Provide specific examples of the nominee’s impact and accomplishments. Include instances where they have demonstrated exceptional abilities, gone above and beyond their responsibilities, or made a significant difference in their field or organization.

5.   Leadership and Teamwork: Discuss the nominee’s leadership qualities, ability to work collaboratively with others, and their contributions to team dynamics or organizational growth.

6.   Personal Attributes: Highlight the nominee’s personal attributes such as integrity, dedication, adaptability, problem-solving skills, or any other qualities that make them stand out.

7.   Endorsement and Recommendation: Clearly state your endorsement of the nominee and why you believe they are deserving of the recognition, award, or position they are being nominated for. Emphasize their unique strengths and contributions.

8.   Closing: Conclude the letter by expressing your confidence in the nominee’s abilities and willingness to provide further information or support if needed.

9.   Contact Information: Include your contact information, such as your name, position, organization, email address, and phone number. This allows the recipient to reach out to you for additional details or clarification.
Type nomination letter here
Nominee's Name*

First NameLast Name
Nominee's Phone Number*

Area CodePhone Number
Nominee's E-mail Address*
Nominee's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

3. Your contact information
Include your contact information, such as your name, position, organization, email address, and phone number. This allows the recipient to contact you for additional details or clarification.
Your Name*

First NameLast Name
Your E-mail Address*
Your Phone Number*

Area CodePhone Number
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Should be Empty: