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2026 Heather Bruemmer Provider Award Nomination Application

Please submit your nomination by October 15, 2026.

Please submit any supporting documentation if applicable, including quality improvement data, testimonials, photos from programs, staff observations, etc. to info@leadingagewi.org.
1.Full name(Required.)
2.Job title(Required.)
3.Email(Required.)
4.Phone number(Required.)
5.Facility name(Required.)
6.Positive Culture & Attitude: How does your organization maintain morale, positivity, and support even in challenging times? Share examples of leadership, staff cohesion, or workplace wellness that uplift others.(Required.)
7.Effective Communication: Explain how you use communication practices such as staff trainings, resident/family engagement, or feedback requests that have measurably improved quality or satisfaction.(Required.)
8.Compassion & Kindness: Give an example of a moment when your team showed consistent, heartfelt kindness in attending to residents’ individual needs.(Required.)
9.Resident Enjoyment & Well Being: Provide one or two examples of how your facility enriches life for residents through events, social opportunities, wellness programming, or enhancements that promote joy and meaning.(Required.)
10.Resident-Centered Quality & Life: Describe how your facility ensures residents’ well being and dignity remain the centerpiece of care. Provide specific examples demonstrating both clinical quality and quality of life enhancements.(Required.)