2025 AHHC Leslie Carswell Leadership Award Form

2025 AHHC Leslie Carswell Leadership Award - Nominee Profile Form

Criteria for the Award:
The nominee must be an administrator, director, clinical manager, or other senior leader in an up- per level management/administrative position who has worked in home care, home health, and/or hospice for a minimum of three years.

They must demonstrate:

- Excellence and commitment to job performance;
- A commitment to the industry by developing and leading internal
agency committees, serving on AHHC committees or
other industry related committees
- An interest in professional growth through continuing education
- A commitment to community by participating in community activities

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 in Home Care, Home Health, or Hospice(Required.)
10.List the committees, subcommittees, task forces and/or commissions this individual has lead and/or developed either at their agency, AHHC, or other industry related organizations. (100 words or less).(Required.)
Remember: Do not use the Nominee’s name or agency in your response.
12.List community activities/committees in which this individual participates. (100 words or less)(Required.)
Remember: Do not use the Nominee’s name or agency in your response.
14.Describe the efforts undertaken by this individual to enhance their professional growth over the last 10 years. Include formal education as well as workshops and other continuing education. (100 words or less).(Required.)
Remember: Do not use the Nominee’s name or agency in your response.
16.Describe how this individual has impacted and inspired his/her team. (100 words or less).(Required.)
Remember: Do not use the Nominee’s name or agency in your response.
18.Illustrate through a narrative (no more than 250 words) how this individual demonstrates excellence, accountability, compassion, integrity, and commitment to job performance and/or patient care. Provide examples of innovation and/ or leadership qualities portrayed by this nominee. Include examples of the nominee’s effect on, as appropriate, agency financial status, new ideas, programs, cost savings ideas, client/patient satisfaction; employee satisfaction, mentoring, etc.(Required.)
Remember: Do not use the Nominee’s name or agency in your response.
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