Please be aware that the survey must be filled out completely for the nomination to be submitted.

David Duncan Administrator of the Year
Recognize your administrator for going above and beyond the call of duty and making your facility a great place for staff and residents. Please fill out every question. Remember to hit "next" at the bottom of each page to proceed and then hit "done" at the end of the survey to submit your nomination.

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* 1. Name of Nominee

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* 2. Length of time employed at facility

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* 3. Facility Name and City

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* 4. Contact information for person submitting nomination. (Name, Title, Phone, Email)

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