2025 AHHC Hospice-Veteran Partnership Leadership Award Form

2025 AHHC Hospice Veteran Partnership Leadership Award - Nominee Profile Form

Criteria for the Award:
This award is designed to recognize a hospice employee who is a leader within their organization and their communities in efforts to better serve Veterans and their families. The nominee must have a minimum of one (1) year experience in a hospice setting. The nominating organization must be a member of AHHC and must be a participating organization in the National Alliance for Care at Home We Honor Veterans program.

Do not use the name of the nominee or any identifying information (such as agency name) on your narrative or in your answers. Please do not skip any questions or your nomination will be disqualified.
1.Name of Nominator(Required.)
2.Nominator's Agency(Required.)
3.Nominator's Email(Required.)
4.Nominator's Phone Number(Required.)
5.Nominee's Agency Name(Required.)
6.Nominee's Name(Required.)
7.Nominee's Title and Credentials(Required.)
8.Nominee's Email Address(Required.)
9.Number of Years Caregiving in Home Care and/or Hospice(Required.)
10.Recount examples of this individual’s actions that demonstrate their commitment to Veterans and their care. (100 words or less).(Required.)
Remember: Do not use the Nominee’s name or agency in your response.
12.When others comment on this individual and their impact on Veterans, what are the most common descriptors used? (100 words or less)(Required.)
Remember: Do not use the Nominee’s name or agency in your response.
14.What do Veteran patients/clients, their families, and the hospice staff most value about this individual’s contributions to your agency (100 words or less).(Required.)
Remember: Do not use the Nominee’s name or agency in your response.
16.Describe the value of this individual’s contributions and impact to your organization’s ability to provide care to Veterans and their families but also their impact in acknowledging and showing appreciation to Veterans. (100 words or less).(Required.)
Remember: Do not use the Nominee’s name or agency in your response.
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