PURPOSE - To encourage recognition of an individual from the Component for his/her commitment, dedication, and service to the local component.

CRITERIA
A. Member of ADHA
B. The recipient should not hold a current FDHA (state) office
C. Component officers are eligible for this award including FDHA delegates/alternates to the FDHA House of Delegates.
D. Each component will establish the qualifications necessary for this award.
E. Each component will establish the method of selection by thier executive committee or by the membership at large.

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* 1. Component submitting the Component Outstanding Member Award winner's name. (Select only one)

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* 2. What is the Component Outstanding Member Award winner's name and credentials? (For example: Jane Doe, CRDH)

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* 3. What is the winner's ADHA Membership ID? (number listed on the component alpha roster from ADHA)

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* 4. How was the Component Outstanding Member Award winner selected? (Select only one)

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* 5. What is the name and title of the Component officer submitting the winner's name? (For example, Jane Doe - President)

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* 6. What is the best email address to reach you?

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* 7. What is the best phone number to reach you?

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