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 2017 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 June 30, 2017 at 11:59 p.m. The winner will be notified by July 14, 2017. 
**If you do not receive confirmation that your application has been submitted within 24 hours after submission please contact Kirsten Peek at 512-343-9595 or**

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

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

* 3. Nominee Information

* 4. Time engaged in providing HEI Case Management

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

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

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

* 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)

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

* 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.