2023 Application for Senior ASHE (SASHE)

This is the official application for Senior status with ASHE. All candidates must complete this form in its entirety, including a signature and date. Before beginning this application, make sure you have 30-45 minutes of uninterrupted time to fully complete the application. You will not have the opportunity to save your answers and return later to complete the application.


Please follow the directions as indicated and answer all applicable questions. After you have completed the application, you will be instructed to upload your supporting documentation and professional photo. All criteria for Senior must be completed at the time of application.


You can download a copy of the Criteria for Senior at https://www.ashe.org/designations If you have questions contact Charmaine Osborne at cosborne@aha.org.


Deadline to apply is April 1, 2023.

 
 

SENIOR APPLICATION PROCESS

The application for Senior status is divided into six (6) parts Part 1 - Contact information Part 2 - Professional background Part 3 - Contribution to the Field Part 4 - Signature & Date Part 5 - Supporting documentation Part 6 - Submitting your application

 

PART 1 - CONTACT INFORMATION

Complete the information below and be sure to provide a valid e-mail and phone where you can be contacted.

 
 
 
 
 
 
 
 
 
 

Part 2 - PROFESSIONAL BACKGROUND

As a candidate for Senior you must submit documentation to demonstrate you meet the requirements in this area. All supporting documentation must correspond to the answers, statements and/or examples you provide on this application.

 

Continuous ASHE membership

Candidate must be a member of ASHE in good standing with five (5) years or more of consecutive membership (with no break in service) at the time of application. Candidate must have a recorded join date prior to January 1, 2018. Individual must obtain an official letter from ASHE that confirms years of consecutive membership.

 
 

Academic/professional

Candidate must document examples of ANY two (2) of the following: --Post-high school vocational/trade school diploma --Associates --Bachelors --Masters --Doctorate --Certified Health Care Facility Manager (CHFM) --Certified Health Care Constructor (CHC) --Other professional health care or engineering related certifications, designations, or licenses. All certifications, designations and licenses must be current and valid at the time of application.

 

Use the drop down menu to make your selection

 

Use the drop down menu to make your selection

 

Continuing education

Document 37 contact hours of ASHE approved continuing education credits. Education must be earned within five (5) years at the time of application, after January 1, 2018.

 

Documentation must support the total number of contact hours you provide on this application. Please indicate the total number of continuing education hours.

 

Professional Resume

Applicant must be actively employed at the time of application. Candidate must have five (5) years or more of experience in a position with primary responsibility related to the profession of health care engineering, facility management, or as a health care architect or engineering consultant.

 

Supporting documentation must include a copy of your resume or bio documenting your career history, work experience, and professional achievements. Please indicate years of experience.

 
 

Part 3 - CONTRIBUTIONS TO THE FIELD

 

As a candidate for Senior you must demonstrate contributions to the field by providing examples of achievements and/or experience for only two (2) of the following categories:


1) Leadership

2) Presenting

3) Publishing


Please select the two (2) categories (Leadership, Presenting, Publishing) Individual must submit documentation that demonstrates you successfully meet the requirements in the areas you select from the drop down box below

 

Category #1 - LEADERSHIP

Provide two (2) DIFFERENT EXAMPLES of leadership experience completed within seven (7) years at the time of application after January 1, 2016. Please refer to the Senior criteria for specific examples of leadership experience.

 

Indicate position held, organization and year. Documentation must support the answer and/or example you provide on this application. EXAMPLE: Regional Director, ASHE, 2018

 
 

Indicate position held, organization and year. Documentation must support the answer and/or example you provide on this application. EXAMPLE: Chapter President, HESNI, 2016

 
 

Category #2 - PRESENTING

Candidate must provide two (2) DIFFERENT examples of Presenting. Your examples must be self-prepared original content presented to an audience of your peers at either a local, state, national or international program or conference.


Please refer to the Senior criteria for specific examples of Presenting experience.


Presenting example must be conducted within seven (7) years at the time of application after January 1, 2016.


NOTE: If your presenting example list you (the applicant) as a co-presenter, you must be involved in 50% of the presentation.


 

Indicate the title, date, name of program and/or event, and your role in the presentation. Documentation must support the answer and/or example you provide on this application. EXAMPLE: Infection Control in the OR, July 2016, ASHE Annual Conference, Speaker

 
 

Whether you are a co-presenter or the sole presenter. Please indicate the estimated amount of time involved in this presentation.

 

Please give a brief explanation of your involvement/role in this presenting example.

 
 

Indicate the title, date, name of program and/or event, and your role in the presentation. Documentation must support the answer and/or example you provide on this application. EXAMPLE Performance Management Preparing your FM team for Success, February 2016, IFMA Conference, Co-presenter.

 
 

Whether you are a co-presenter or the sole presenter. Please indicate the estimated amount of time involved in this presentation.

 

Please give a brief explanation of your involvement/role in this presenting example.

 

Category #3 - PUBLISHING

All examples of Publishing must be written by the applicant and must meet the following criteria:


1) Articles, white papers or other examples of Publishing must be 800 words or more written by the applicant on a health care or engineering related topic.


2) Published and/or approved for publication by ASHE or a national health care/engineering related publication or organization


3) All written works must list the applicant as the original author and/or contributor.


4) Each example of Publishing must be published and/or approved for publication within seven (7) years at the time of application after January 1, 2016.


Please refer to the Senior criteria for specific examples of Publishing.

 

Individuals who have selected Publishing as an example of Contribution to the Field, must select from the appropriate responses in the drop down menu. Documentation must support the answer and/or example you provide on this application.

 

Indicate title, date, and name of publication. Documentation must support the answer and/or example you provide on this application. EXAMPLE #1 Breaking Barriers Claiming Your Seat at the Table, Inside ASHE, July-August 2016, original article

 
 

Indicate title, date, and name of publication. Documentation must support the answer and/or example you provide on this application. EXAMPLE #2 Documenting the PDC Process, Management Monograph, ASHE, 2018, co-author

 
 
 

Part 4 - SIGNATURE & DATE

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

 

I hereby 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 submission for completeness and accuracy and understand that an incomplete submission will be deemed ineligible for review by ASHE. Please check the box below to serve as your official signature.

 

Please enter your full name as you would like it to appear in print. (include prefix, suffix, and designations)

 
 

Feel free to include any comments or other relevant information specific to your application.

 
 
 

PART 5 - SUPPORTING DOCUMENTATION

At the time of application, candidates for Senior will be required to provide supporting documentation that will be reviewed by the task force in order to determine your eligibility for Senior. The supporting documentation validates the answers and/or statements you provide on your application. To ensure a thorough review of your application, be sure your supporting documentation is compiled and organized for easy reference and verification, as indicated below: Cover page --Full name --Company --Phone --Email Professional background --ASHE membership --Academic/professional --Continuing education --Professional resume Contributions to the field (two (2) of the three (3) are required) --Leadership --Presenting --Publishing Professional photo/headshot --Color, high-resolution in JPG file format Once you have compiled your documentation, it should be scanned as one (1) PDF file. You will be required to upload the PDF file and the JPG file to complete the application process.

 

Required documentation

Carefully read and follow the instructions below. You will upload two (2) separate files. File 1 - Supporting documentation Make sure that you have compiled and scanned all required documentation as one (1) PDF file. File 2 - Professional photo (headshot) Your professional headshot must be a high-resolution color photo saved as a JPG file.

 

To upload your documents click the "browse files" link below. Search and enter the document name from your computer hard drive or zip file. Click "OK/Enter". Repeat process to upload the second file. Maximum file limit (total of both files) should not exceed 30MB.

Drop your files here
 
 

PART 6 - SUBMITTING YOUR APPLICATION

Please review the following before submitting your application:


--You are responsible for the accuracy and completeness of this application.


--Make sure you have completed the application in its entirety.


--Review your answers.


--Check to see you have properly uploaded your supporting documentation and photo.


--Make sure your application is signed and dated.


--Be sure to check the box marked "Send me a copy of my responses" and enter a valid e-mail address, so you can receive a copy of this application for your records.


--When you are ready click SUBMIT. You will get a notification of receipt via e-mail.


Individuals approved for Senior status will be notified by June 16, 2023. Other applicants will be notified by June 30, 2023.


If you have questions OR if there are any changes and/or additions to your application after it has been submitted, contact Charmaine Osborne at cosborne@aha.org for further instructions.


Thank you.