2019 Senior Living Awards - Nomination form for Administrator, Nurse, C.N.A. & Facility Team Member
Join IHCA/INCAL in recognizing an outstanding Administrator, Nurse, C.N.A and Facility Team Member (includes Social Services, Activities, MDS Coordinators, Dietary, Maintenance, Environmental Services and Business Office personnel) and commitment to quality care by submitting nominations for the 2019 Senior Living Awards! Take a few minutes to show your support and appreciation for your colleague by nominating them for an award. All winners will be recognized at the 2019 IHCA/INCAL Convention and Expo on Monday, September 16, 2019. Both the winner and the nominator will receive a free registration for the Convention and Expo!
Date of Submission
Nominator's Email Address
Category Nominated (only choose one option)
Administrator of the Year
Nurse of the Year
C.N.A. of the Year
Facility Team Member of the Year
Nominee's Facility Name & Address
Nominee's Email Address
Nominee's Length of Service
1 year up to 3 years
Over 3 years up to 5 years
Over 5 years up to 10 years
Over 10 years up to 15 years
Over 15 years up to 20 years
Over 20 years
Please provide specific examples of how the individual has excelled in EACH of the following areas:
Job performance/excellence/personal demeanor. Define how the individual goes above and beyond.
Teamwork/co-worker interaction and communication
Commitment to quality care and quality of life, delivers person-centered care, advocates for the elderly.
Serves as a role model and mentor. Include examples of how they exhibit leadership and supervisory skills
Supports the facility and the greater community
Thank you for the submission!
Award submissions will be reviewed in late April-early May and award winners will be notified the last week of May.
Send me a copy of my responses
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