2025 RLI Impact in Leadership Award Application

Thank you for your interest in the 2025 RLI Impact in Leadership Award Application. This application should be completed by the candidate (no nominations please).


PLEASE REVIEW THE APPLICATION REQUIREMENTS PRIOR TO SUBMITTING.


If you have any questions, please email RLI@acr.org.


Deadline: Friday, February 14, 2025

(First, Last, Credentials)

ACR Member Number (if you do not know your ID#, please contact ACR Membership at 1-800-347-7748 or membership@acr.org)

(Please note, requirement is to be post-training by the time of the 2025 RLI Summit (September 26-28, 2025)

Past RLI Participation*

Have you participated in at least one or more RLI programs?


Award Criteria

1) A specific and noteworthy contribution or initiative to improve and enhance their department or practice; documentation of steps taken and outcomes achieved.


2) Clearly articulate knowledge and leadership skills that were gained from participating in specific RLI programming that were integral to the success of their project or initiative. Reflect on the lesson received from the RLI course/program and explain in detail how the specific course/skill learned was applied to the contribution/initiative.

-For example, “participating in the webinar on strategic planning helped me successfully take my group in a new direction” or “I created a new program to prevent burnout after attending the ACR-RBMA Practice Leaders Forum,” etc.

File Upload:

You will upload THREE files:

  1. Project Description. Upload the project description. Description includes the following (maximum 3 pages):
  2. Discuss how the RLI experience enabled you to successfully pursue your project (provide as much detail as possible)
  3. What specific skills and knowledge were gained from that RLI experience and how were they put into practice
  4. A detailed description of the specific project or initiative and associated outcomes documenting noteworthy enhancements or improvements to the practice or institution
  5. Letter of Recommendation. Attached one (1) letter of recommendation from someone who is familiar with or benefited from the initiative (this should not be from current members of the RLI Board).   
  6. Curriculum Vitae. Please upload your current CV as a required supplement to your completed application.

(Project Description, Letter of Recommendation, and CV)

Drag and drop files here or

I give RLI permission to use and share my photo and story in marketing materials going forward.

Before You Submit!

Please be sure to include all materials in this form before you submit. Once submitted, you cannot return to modify an existing form.


If you have questions, please email us at RLI@acr.org.


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