2023 Crystal Eagle Leadership Award Application

2023 Crystal Eagle Leadership Award Application

The Crystal Eagle Leadership Award recognizes an outstanding individual for their generous and long-standing service to ASHE, and their contributions to advance the field of healthcare engineering and facilities management.

To nominate a fellow ASHE member for this award, you must:

1) Be a current member in good standing with ASHE

2) Complete the online application process in its entirety.

Part of the nomination process involves the preparation of a Nomination Packet. Which you will have to upload and submit at the time of application. Therefore, your nomination packet, must be prepared prior to beginning this online application process. It cannot be submitted separately. Following is information on how to prepare the Nomination Packet. Please be sure that you have 30 - 45 minutes of uninterrupted time to complete the online application in its entirety. You will not the opportunity to save your answers and return at a later time to complete the application.

For a copy of the current criteria and requirements, go to www.ashe.org. If you have questions, contact Charmaine Osborne at cosborne@aha.org

The deadline to submit a nomination for the Crystal Eagle award is April 1, 2023.

NOMINATION PACKET & CANDIDATE'S PHOTO

Below is detailed information on how to prepare the Nomination Packet and how to submit the candidate's photo.

Preparing the Nomination Packet

Part of the application process involves the preparation of a Nomination Packet. It should include all the required documentation that supports the answers and examples given on this application.

Please refer to the Crystal Eagle criteria to ensure you have the appropriate documentation and that your examples meet the criteria. You can download a copy of the criteria from the ASHE website at www.ashe.org.

Compiling the nomination packet.

The nomination packet should be compiled and organized as indicated below, for easy reference:

1) Cover page - Prepare a cover page that includes the following:

a) Candidate's full name and their contact information

b) Your name and contact information

2) Required documentation - After the Cover page, please organize the nomination packet in the order listed below:

a) ASHE membership

b) ASHE Chapter membership

c) Professional accomplishments

d) Career experience/Resume

e) Three letters of recommendation

f) Written narrative (written by the individual submitting the nomination application)

Scan all the documents into one (1) PDF file. When instructed, follow the instructions to upload the Nomination Packet with this application. NOTE: Individual documents sent separately will not be accepted. Applications submitted without a Nomination packet and/or missing documents will be considered ineligible for review by ASHE.

Candidate's Color Photo

Part of the application process requires you to submit a color photo of the individual you are nominating for this award. This photo will be used in all marketing and promotional materials. Please make sure it is a current color photo (head shot) in a high resolution, JPG file format. When instructed, follow the instructions to upload the photo with this application. NOTE: Photos sent separately will not be accepted. Applications submitted without a photo will be considered ineligible for review by ASHE.

CRYSTAL EAGLE AWARD APPLICATION

This is the official application for the Crystal Eagle Award. You are responsible for the accuracy and completeness of this application, nomination packet and all other information associated with this application. Carefully review the information for each section, follow the instructions as indicated, and complete the application in its entirety. NOTE: An Incomplete application will be considered ineligible for review.

CANDIDATE'S INFORMATION

Complete the information below. Be sure to provide a valid e-mail and phone for the award candidate.

Candidate' ASHE Member ID #

First Name*

Last Name*

Organization*

City*

State*

E-mail*

Phone Number*

MEMBERSHIP REQUIREMENT

Read and complete both sections below. Your answers must correspond to the documentation and information contained in the Nomination Packet.

ASHE Membership*

Candidate must be a current ASHE member in good standing for 10 (ten) years or more at the time of application. You must obtain and include an official letter from ASHE verifying membership. A copy of this letter must be included in the nomination packet. Check the box below to confirm you have obtained an official letter from ASHE verifying membership.

ASHE Affiliate Chapter Membership*

Candidate must be a current member in good standing with an ASHE affiliate chapter with two (2) years or more of consecutive membership at the time of application. You must obtain an official letter from the local chapter verifying membership. A copy of this letter must be included in the nomination packet. Check the box below to confirm you have obtained a letter from the chapter verifying membership.

PROFESSIONAL ACCOMPLISHMENTS

Candidate must meet the following requirements, at the time of application. 1) Hold the designation of either: a) Fellow (FASHE) b) Senior (SASHE) AND 2) Meet one (1) of the following criteria listed below: a) Certified Healthcare Facility Manager (CHFM) b) Certified Healthcare Constructor (CHC) c) Past member of the ASHE Board of Directors d) Past ASHE committee/taskforce chairman

Professional Accomplishments - #1*

Click the drop down to select the appropriate response. Your nomination packet must include the required documentation to support your response. Example #1

Select or enter value

Professional Accomplishments - #2*

Click the drop down to select the appropriate response. Your nomination packet must include the required documentation to support your response. Example #2

Select or enter value

PROFESSIONAL EXPERIENCE/RESUME

Candidate must demonstrate work/career experience related to the profession of healthcare engineering, facility management, or as a healthcare architect, engineering consultant, or planning/design professional. The nomination packet must include a copy of the candidate's professional resume as supporting documentation.

Professional Resume*

Please indicate that you have included a copy of the candidate's professional resume.

Yes, I have obtained and included a copy of the candidate's professional resume

No, I have not obtained and included a copy of the candidate's professional resume

Years of Experience*

Please indicate the candidate's years of experience in healthcare

LETTERS OF RECOMMENDATION

Your Nomination Packet must include three (3) letters of recommendation. Please list the names of the individuals who have provided a recommendation letter on behalf of the award candidate. All letters must be dated and include their signature. Letters can be submitted by the following: a) Candidates manager/supervisor, hospital CEO, department VP or administrator. b) Current ASHE Chapter President c) Current ASHE member d) Professional colleague (non-ASHE member) A copy of all three (3) letters must be included in the nomination packet.

Letter of Recommendation - #1*

Indicate the name, job title, and their relationship to the award candidate. EXAMPLE John Doe, Director of Facilities, an ASHE member

Letter of Recommendation - #2*

Indicate the name, job title, and their relationship to the award candidate. EXAMPLE Kate Doe, VP of Facilities, candidates' manager

Letter of Recommendation - #3*

Indicate the name, job title, and their relationship to the award candidate. EXAMPLE Phil Doe, ASHE chapter president, High Plains chapter

WRITTEN NARRATIVE/NOMINATION LETTER

As the preparer of this application you are required to submit a written narrative (or nomination letter) your written narrative must be dated and include your signature. The narrative must be a minimum of 500 words and address all of the following: - Reasons for nominating the individual - Key examples of their contributions to ASHE and its mission - How the candidate exemplifies the spirit of the award A copy of the written narrative must be included in the nomination packet.

Written Narrative*

Check the box below to confirm that you have written the narrative.

Yes, I have written the narrative for this award nomination

No, I did not write the narrative for this award nomination

YOUR CONTACT INFORMATION

Complete the information below with your name and contact information.

Full Name*

Email Address*

Comments

Include any comments or other relevant information specific to this application that you would like for the review taskforce to consider when reviewing this application.

SIGNATURE & DATE

Sign and date the application by indicating a check mark in the Signature box below.

Your Signature*

I hearby certify that all statements and responses I have made in this application, and all documentations enclosed herewith, are true, accurate and authentic to the best of my knowledge. Further, I acknowledge that I have reviewed this application and all supporting documentation for completeness and accuracy and understand that an incomplete application will be deemed ineligible for review by ASHE. Signature Box: Please check the box below to serve as your official signature.

Today's Date*

UPLOADING DOCUMENTS

Carefully review the instructions below to upload the following documents. 1) Nomination packet (one PDF file) 2) Candidates color photo (one JPEG file)

Instructions*

Please load each file separately. Maximum file limit should not exceed 30MB.

Step 1 - Nomination Packet Hit the UPLOAD button. Find and attach the corresponding PDF file.

Step 2 - Candidate's photo Hit the UPLOAD button. Find and attach the corresponding JPG file. *

Be sure to request a copy for your files.

Drag and drop files here or

PROCESS COMPLETE

This completes the application process. Take a moment now to make sure you have answered all the questions, uploaded the required documents, and signed and date this form. Your application is not official until you hit "SUBMIT". Be sure to check the box above "SUBMIT" in order to receive a copy of this application for your files. Once you hit submit you will receive an e-mail notification confirming that ASHE has received your application. Thank you.

Additional Information

The candidate selected for the Crystal Eagle Leadership Award will be notified by e-mail no later than June 16, 2023. All other applicants will be notified by June 30, 2023.

Contact Charmaine Osborne at cosborne@aha.org with questions.

Send me a copy of my responses

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