Lifetime Recovery Advocate Forms

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Sunday, February 05, 2012

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Recovery Month Lifetime Recovery Advocate Forms

Please fill out the Lifetime Recovery Advocate nomination form below, or if you prefer, download the PDF nomination form here

Nomination Form - 2010 Daniel C. Crowe Lifetime Recovery Advocate Award

Lifetime Recovery Advocate Name
Advocate address
Advocate City
Advocate state
Advocate Zip
Advocate phone number
Advocate email
Your Name
Your address
Your City
Your state
Your Zip
Your phone number
Your email
Why do they deserve the Lifetime Recovery Advocate Award?
How have they helped people and the cause of Recovery?
What is their connection to Recovery? How long have they been involved?
Give examples of advocacy roles they have taken in the community
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Drug Free Marion County
2506 Willowbrook Parkway
Suite 100
Indianapolis, IN 46205
Phone: (317) 254-2815
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