2024 Home Care Aide Scholarship: Nomination Form

We are excited to hear more about your nominee and why you believe they are deserving of this scholarship!


A description of the scholarship can be found here.

First and Last Name

Name of the agency you are employed at.


First and Last Name

Name of nominee's agency they are employed at.

Nominee must be a home care aide in order to receive this scholarship.

Please share why you believe your nominee is deserving of this scholarship!


First and Last Name of nominee's manager.

If my nominee is selected for the HCHB Home Care Aide Scholarship, 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.

Short description of nominees agency.