HCHB Customer Awards: Innovation & Achievement Nomination Form

HCHB Customer Awards:

Innovation & Achievement Nomination Form

The Innovation & Achievement award honors organizations who have found creative and innovative ways to address challenges within the ever-changing homecare market. We look forward to learning more about your nomination.

Learn more about our HCHB Customer Awards here.

*All nominees must be from an organization currently using HCHB.

Nominator Information

Nominator's Full Name*

First and Last Name

Nominator's Email Address*

Nominator's Agency Name*

Name of the agency you are employed at.

Nominee Information

Agency Name*

Name of organization you are nominating.

Reason for Nomination*

Explain how your organization addressed challenges in the dynamic homecare market through creativity and innovation. Specify the problem tackled.

Implementation and Impact Assessment*

Describe implementation process, the criteria used for measuring success, and the outcome of the solution, program, or process.

Innovation & Achievement with HCHB

If applicable, how was the HCHB application used in addressing the specific challenge your organization tackled.

Relevant Publicity and News Coverage

If applicable, provide hyperlinks to any relevant media coverage we should consider for your nomination.

Upload Supporting Documents

If applicable, upload any relevant material we should consider for your nomination.

Drag and drop files here or

Release of Information

Opt In for Permission*

I release and grant Homecare Homebase authorization to reproduce, copyright, exhibit, broadcast, electronic storage and/or distribution of said text/photographs/film/video tapes/electronic representations, and/or sound recordings without limitation at the discretion of Homecare Homebase.

Company Description/Boilerplate

Company Website Link*

Include the link to your company's website.

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