Nominate Someone for a 2021 NAMI-NYS Award
RequiredRequired Question(s)
Required 1.

Which award are you making a nomination for?

Muriel Shepherd Award-The highest honor we present to a NAMI-NYS member
Program Leader Award-Presented to an individual doing excellent work leading NAMI Signature Programs
Young Leader Award-Presented to someone under the age of 28 who is doing excellent work expanding mental wellness
Multicultural Award-Presented to someone advancing mental health awareness in multicultural communities
Criminal Justice Award-Presented to someone who is improving the criminal justice-mental illness interface
Max Gabriel Award-Presented to a veteran who is supporting the mental health of other veterans and military families
Required 2.

Name of Nominee


50 characters left.
Required 3.

Nominee email


50 characters left.
Required 4.

Nominee phone number


50 characters left.
Required 5.

Is the nominee a member of a NAMI-NYS affiliate? If so please specify, if not just say no.


50 characters left.
Required 6.

Please provide information on why the nominee deserves the award.


1000 characters left.
Required 7.

Please provide your name and email.


350 characters left.