ASSOCIATES IN MENTAL HEALTH & DEVELOPMENTAL disabilities, In

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The CATEGORIES are: 

1. “THE FOUNDER’S EXECUTIVE LEADERSHIP AWARD” 

2. “THE PRESIDENT’S EXECUTIVE LEADERSHIP AWARD” 

3. “THE EXECUTIVE LEADERSHIP AWARD” 

4. “THE BOARD OF TRUSTEES EXECUTIVE LEADERSHIP AWARD”

5. “THE GREATER MENTAL HEALTH ASSOCIATES ACHIEVEMENT AWARD”

 6. “THE AWARD CERTIFICATE of HONOR in RECOGNITION of ACCOMPLISHMENTS”

7. “The Phenomenal Young EXECUTIVE Leadership AWARD” (CHILDREN AND TEENS)

8. “THE CEO STAFF ACKNOWLEDGEMENT RECOGNITION AWARD” 

9. “VOLUNTEERISM RECOGNITION AWARD”

COMPLETE the APPLICATION and SEND in NOW to ASSOCIATES In Mental Health & Developmental Disabilities,  Inc. 81 Northfield Ave Suite 106, West Orange, NJ 07052

 (973) 762-2020

 AMHDD@CS.COM

DEADLINE to submit BIOGRAPHIES/RESUMES/SUPPORTING INFORMATION is on NOW or before AUGUST 1. THE FINAL DECISION for the PROSPECTIVE AWARD NOMINEE. AWARD LUNCHEON FUNDRAISER DATE: OCTOBER Date to be Announced.

PERSON NOMINATING THE CANDIDATE _____________________________

(YOUR NAME)

YOUR ADDRESS _____________________________________________________

YOUR PHONE(S) ____________________________________________________

YOUR E-MAIL ADDRESS _____________________________________________

POSITION HELD ____________________________________________________

Name of ORGANIZATION AFFILIATION if applicable 

____________________________________________________________

PHONE NUMBER ___________________________________________________ 

E-MAIL of ORGANIZATION __________________________________________

POSITION HELD ____________________________________________________

NAMES of PERSON(S) being NOMINATED 

____________________________________________________________

SELF-NOMINATIONS ARE ACCEPTABLE ______________________________

ADDRESS ___________________________________________________________

PHONE NUMBER(S) _________________________________________________

E-MAIL ADDRESS ___________________________________________________

POSITION HELD ____________________________________________________

1. Why are you nominating this person, yourself, a group or an organization? How have you / organization enhanced the quality of life for others?

2. How has the contributions impacted the immediate community or the tri-state area or the lives of others significantly?

3. How has this person, you / organization demonstrated outstanding leadership, dedication, role-modeling, support and advocacy in meaningful ways?

4. How has this person / you / organization collaborated on projects with others to respect the rights and dignity of others through sponsorships. How have the efforts been innovative or laudable?

5. How have you / organization promoted the well-being and health of others?

****ADD ADDITIONAL INFORMATION AS NECESSARY****

ALL INFORMATION WILL BE KEPT IN STRICT CONFIDENCE

Associates In Mental Health & Developmental Disabilities, Inc.

81 Northfield Ave Suite 106, West Orange, NJ 07052 

E-Mail AMHDD@CS.COM

VENDORS!!!!!

OUR YEARLY AWARDS & OUR YEARLY ANNIVERSARY LUNCHEON/DINNER

VENDOR’S REGISTRATION

APPLICATION ENTRY FORM

(PRINT ONLY)

PER TABLE SPACE

(INCLUDES UP TO 3 AT A TABLE AND FREE BUFFET LUNCH), 50/50 DRAWING!!!)

CHECKS ARE MADE OUT TO AMHDD, INC. / MAIL TO 81 Northfield Ave Suite 106, West Orange, NJ 07052 

NAME ______________________________________________________

STREET ADDRESS ___________________________________________

CITY, STATE ________________________________________________

PHONE ______________________________________________________

Number of table spaces 1, 2 or 3 WITH AMOUNT OF CHECK ENCLOSED ______

EVENT LOCATION: TO BE DETERMINED

Our FUNDRAISING AWARDS EVENT: CELEBRATING OUR

YEARLY ANNIVERSARY

*Tables will be provided but you must supply your own freestanding displays/all supplies including electrical cords *

You are responsible for set up/cleanup/take down

*supervision of your items* 

AMHDD, INC. is not responsible for any loss, injury, damages or personal property destruction

Loading is from the side of the center door entrance, and not the front door

Set up time is between to be announced before affair starts.

VENDORS!!!!!

CALL-973-762-2020

REGISTER NOW!!!!

ASSOCIATES IN MENTAL HEALTH & DEVELOPMENTAL DISABILITIES, INC.

 81 Northfield Ave, West Orange, NJ 07052,

 AMHDD@CS.COM 

NON-PROFIT CORPORATION

TAX DEDUCTIBLE

Wanted for Display

Tables

All Kinds of Merchandise,

Goods / Services

Our Yearly Anniversary

October

CELEBRATION

LOCATION: TO BE DETERMINED