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 kpeek@hivconnection.org**

What is your relationship to the person being nominated for the HIV Street Outreach Worker of the Year Award?

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* 1. What is your relationship to the person being nominated for the HIV Street Outreach Worker of the Year Award?

As the nominator, please answer the following:

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

Nominee Information

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* 3. Nominee Information

Does the nominees work for an agency funded by:

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* 4. Does the nominees work for an agency funded by:

How long has the nominee worked directly in the field of outreach?

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* 5. How long has the nominee worked directly in the field of outreach?

How long has the nominee worked at their current agency?

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* 6. How long has the nominee worked at their current agency?

Essay: Please tell us in your own words why you are nominating this person for the Street Outreach Worker of the Year Award. Include a description of the work they do and the services they provide as well as three specific examples of how they exemplify Dan Rawlin's devotion to substance users at risk for HIV/AIDS (examples may include innovative strategies and practices, working with team members, connection to the clients and community, overcoming barriers and strategies working with high-risk negatives). Max. 600 words.

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* 7. Essay: Please tell us in your own words why you are nominating this person for the Street Outreach Worker of the Year Award. Include a description of the work they do and the services they provide as well as three specific examples of how they exemplify Dan Rawlin's devotion to substance users at risk for HIV/AIDS (examples may include innovative strategies and practices, working with team members, connection to the clients and community, overcoming barriers and strategies working with high-risk negatives). Max. 600 words.

Please provide the names and contact information of three references. These references should be familiar with the nominee's work in the street outreach field. 

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* 8. Please provide the names and contact information of three references. These references should be familiar with the nominee's work in the street outreach field. 

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