Leadership in Aging Award

This award honors an individual for outstanding leadership in the field of aging within the State of Texas. The award seeks to recognize those who offer innovative ideas and create conditions for progress in-network service delivery. Candidates must be widely recognized as leaders by their peers and demonstrate a commitment to the state’s aging community. 

Please complete this form for each person being nominated. Nominations are due by March 16, 2020.

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* 1. Nominee's Name

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* 2. Degrees and/or Credentials of Nominee
(Please spell out.)

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* 3. Nominee's Present Organization and Position

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* 4. Nominee's Years of Service in the Aging Industry

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* 5. Nominee's Preferred Contact Phone Number

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* 6. Nominee's Email Address

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* 7. Nominee's Website URL
(If applicable.)

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* 8. Please list and describe any innovative, creative or advanced ideas and/or projects the nominee has implemented or worked on for the benefit of seniors.

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* 9. Please list any successes or achievements the nominee has accomplished in the field of aging.

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* 10. Please list any partnerships or outside organizations the nominee has worked with to further pursue his/her work with seniors.

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* 11. Please list any prior experience or background information about the nominee that makes them stand out above their peers.

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* 12. Please add any further information you believe is important for the Award Committee to review in their consideration of this nominee for the Leadership in Aging Award.

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* 13. Nominator's Name

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* 14. Nominator's Present Organization and Position

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* 15. Nominator's Preferred Contact Phone Number

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* 16. Nominator's Email Address

Thank you for completing an Aging in Texas Conference Leadership in Aging Award nomination form. We will be in touch soon to confirm submission of this form. If you have any questions, please contact Talia Milan at tmilan@txregionalcouncil.org or by calling 512-478-4715.

Still need to register for the 2020 Aging in Texas Conference? Click HERE! For more conference information visit www.agingintexas.org.

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