My Account
Cart

Act Missouri

Taking ACTion to Build a Healthy Missouri

Home
Blog
About
Resources
Advocacy
Caring Adults
PRCs
- Mini Grants
- Community Coalitions
Youth
Events
SADD
- saddtownhall
- Prom
- TST
- SADD Programs
- SADD in 60

Home | Missouri SADD Member Award of Distinction Form

Missouri SADD Member Award of Distinction Form

Nominator Name*
First Last
Nominator Email Address*
The nominator will receive communication regarding the status of the application.
SADD Chapter Advisor Email Address*
The SADD Chapter Advisor, who may the same as the nominator, will receive communication regarding the status of the application.
Member Name*
First Last
Member School/Chapter*
Years of SADD Involvement
Please check all that apply. Membership will be verified by Missouri SADD.
- Academic Year 2017-18
- Academic Year 2018-19
- Academic Year 2019-20
- Academic Year 2020-21
- Academic Year 2021-22
Participation in SADD National Programs*
Please check all that apply.
- Select All
- Get Living
- Is It Worth the Risk
- Rock the Belt
- SADD Shines
- Textless Live More
- Other:
If you listed Other in SADD National Programs Please list that Program here.*
Letter of Recommendation from Nominator*
Letter should outline chapter member contributions.
Drop files here or

Accepted file types: gif, png, pdf, doc, xls, xlsx, docx, pptx, ppt, bmp, jpeg, jpg, Max. file size: 300 MB.
Letter of Recommendation from School Administrator*
Letter should outline chapter member contributions.
Drop files here or

Accepted file types: gif, png, pdf, doc, xls, xlsx, docx, pptx, ppt, bmp, jpeg, jpg, Max. file size: 300 MB.
Comments
This field is for validation purposes and should be left unchanged.

Stay Connected

Get ACT Missouri emails and updates, so you know what's going on. Sign Up

Info For Our

Prevention Resource Centers
Caring Adults
Youth
Educators

ACT Missouri Blog

Dec 06

Prevention Happened Here!

Dec 03

National Drug Take Back Totals

May 26

Prevention Wins Were Lean in 2019

Contact Us

2208 Missouri Blvd. Ste. 102 #122
Jefferson City, MO 65109
phone: (573)864-1113
email: info@actmissouri.org

Prevention Resource Center Locator

Contact your local Prevention Resource Center to find out more about what’s going on in your community and how you can make a difference!
Get a map or see list of locations

Partners

Students Against Destructive Decisions (SADD)

Missouri Youth/Adult Alliance

Partnership for Drug-Free Kids

Important Info

About ACT Missouri
How To Get Involved
Mission, Vision, and Ways We Can Help
Programs, Partnerships, and Alliances
Disclosure

2016 © ACT Missouri