Mental Health Impact Award Nomination Form

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This award recognizes individuals and organizations that have demonstrated exceptional dedication and made a significant positive impact in promoting mental health within our region. Awards will be presented at the 2nd Annual SMART Youth Mental Health Summit on September 16, 2026, at the Buffalo Convention Center.

These impact and leadership award categories are for a person in:

Higher Education, P-12 Schools, Agencies (public or private), Community Impact, Government and Policy, Journalists

You may make a nomination based on these categories. There will be one award recipient per category. Please complete the form below to nominate a deserving candidate.

Nominator Information

Last Name *

First Name *

Email *

Best Phone Number *

Your Affiliation (if any) *

Agency outside of a school

P-12 School

Higher Education

Other:

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