Use This Form to Type in Your Information Take As Much Space As You Need

The 2018 Ulysses “Mac” McLester
Champion of Recovery Award

The Champion of Recovery Award honors a clinician or professional in a paid position serving individuals who are in recovery from substance abuse and/or mental health who has made a significant contribution to the recovery community in Austin and/or Central Texas. Please consider nominating individuals who are being of service in the broader recovery community, including the judicial and criminal justice system, the 12-Step Community, the Sober Housing arena, and the treatment community.

Nomination Guidelines

Use this form to type in your information…take as much space as you need

Submission Deadline: February 20, 2018

Submit via email to:

Marsha Robinson

McLester Award Committee Chair

Part 1- Nominee Qualifications

Be as specific as possible

1.  What are the professional achievements of this individual that qualify him/her for this award?

2.  Aside from professional, are there other ways this individual has contributed to, or advocated for, recovery in our community?

3.  How would you describe this individual as a person and what type of qualities do they possess that warrant this recognition?

4.  List any professional designations, licenses, certifications or awards for this individual.

5.  How many years have they worked in the substance abuse/mental health field?

6.  Is there anything else you would like to add about this nominee?

Feel free to include this individual’s resume and any written references from their professional colleagues.

If the nominee's primary contribution has been as a volunteer without compensation in the substance abuse and/or mental health field, please submit a nomination for the Spirit for Recovery Award.

Part 2- Contact Information

Nominee Information

Nominee’s Full Name:

Associated Firm or Organization:

Position/Title:

Phone:

Email:

Nominator Information

Nominator’s Full Name:

Associated Firm or Organization:

Position/Title:

Phone:

Email:

Provide the contact information for another person willing to support your nomination and who is willing to speak with one of our committee members.

Full Name:

Associated Firm or Organization:

Position/Title:

Phone:

Email:

Would you be available to introduce this individual at the Communities for Recovery Luncheon on
April 25th, 2018?

Nominator’s Signature:

(Electronic Signature Permitted)

Date of Signature:

For questions, contact:
Marsha Robinson
McLester Award Committee Chair
512-657-6572