THE LGBTQ BEHAVIORAL HEALTH COALITION OF SOUTHERN ARIZONA and THE LGBT CONSORTIUM are

accepting award nominations for the 2nd Annual Statewide LGBTQ Behavioral Health Conference. Nominated individuals should demonstrate exceptional leadership and innovation in serving the behavioral health needs of LGBTQ individuals and families. The nomination criteria are simple. Tell us about someone who best personifies exceptional service to LGBTQ individuals and families. Please give consideration to the following: Length of service Scope and impact of work Surmounted obstacles Imagination and innovation

NOMINEE INFORMATION Nominees name: Click here to enter text. Phone number: Click here to enter text. Organization (if applicable): Click here to enter text. Address: Click here to enter text. Email address: Click here to enter text.

NOMINATOR INFORMATION Nominators name: Click here to enter text. Phone number: Click here to enter text. Organization (if applicable): Click here to enter text. Address: Click here to enter text. Email address: Click here to enter text.

WHY SHOULD THE NOMINEE WIN A 2013 LETS GET BETTER TOGETHER AWARD? Click here to enter text.

THE DEADLINE FOR NOMINATIONS IS FEBRUARY 28, 2013

Completed nomination forms should be submitted via email to Kyle Penniman and Yvette Jackson at kpenniman@stonewallinstitute.com Nominees are selected by THE LETS GET BETTER TOGETHER AWARD COMMITTEE . Recipients will be presented with their award at the 2nd Annual conference to be held on April 5, 2013, in Tucson.