2018 Dan Rawlins HEI Case Manager of the Year Award

Nomination submissions

Dan Rawlins (June 3, 1948 - February 24, 2008) was one of Texas’s first and most dedicated advocates for HIV/AIDS prevention. He started his career as a drug and alcohol abuse counselor before becoming a pioneer in HIV/AIDS prevention and care in the 1980s. He served on the first board of directors for AIDS Services of Austin, and he was the first HIV/AIDS program coordinator at the Texas Commission on Alcohol and Drug Abuse and the Texas Department of State Health Services. He dedicated the last 25 years of his life to this work.

The annual recipients of the Case Manager of the Year Award and the Outreach Worker of the Year Award will receive full scholarships to attend the 2018 HIV Outreach & HEI Case Management Conference, including waived conference fees, travel, transportation, special hotel accommodations, personalized gift baskets and per diem expenses.

Nominations close on July 18th at 11:59 p.m. The winner will be notified by July 20, 2018.

**If you do not receive confirmation that your nomination has been submitted within 24 hours after submission please contact Jessica Frye at 512-343-9595 or jfrye@hivconnection.org**

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* 1. What is your relationship to the person being nominated for the HEI Case Manager of the Year Award?

I am their supervisor

I am their peer

I am a community colleague

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* 2. As the nominator, please answer the following:

Your Full Name

Your Job Title

Name of Your Organization/Agency

Address of Your Organization/Agency

Your Phone Number

Your Email Address

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* 3. Nominee Information

Nominee Full Name

Nominee Job Title

Nominee Organization/Agency

Address of Nominee Organization/Agency

Phone Number of Nominee

Email Address of Nominee

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* 4. Time engaged in providing HEI Case Management

Five or more years

Three or more years

At least one year

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* 5. Case manager relationship with clients (on a scale of 1-5, with 1 being weak and 5 being extremely strong).

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* 6. Case manager relationship with peers (on a scale of 1-5, with 1 being weak and 5 being extremely strong).

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* 7. Case manager relationship with community (on a scale of 1-5, with 1 being weak and 5 being extremely strong).

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* 8. Essay: Please tell us in your own words why you are nominating this person for the HEI Case Manager of the Year Award. Focus your response on the following areas:
-Demonstrated advocacy with collaborating agencies, systems and resources.
-Linkage and retention to care.
-Examples of successful interventions with clients.
(Max. 600 words)

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* 9. What makes this individual uniquely suited for this award? (Max. 300 words)

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* 10. Please provide the names and contact information of three references. There references should be familiar with the nominee's work in the HEI case management field.

Reference 1: Full Name

Organization/Agency

Phone Number

Email Address

Reference 2: Full Name

Organization/Agency

Phone Number

Email Address

Reference 3: Full Name

Organization/Agency

Phone Number

Email Address