Thank you for your interest in submitting a self-nomination for the Quality Award Board. The self-nomination period is open from October 1 through October 31. All nominations must be submitted by the October 31 deadline in order to be considered.

Before You Apply
Please review these expectations for Quality Award Board service:
  • Term: A three-year term beginning in January, with the possibility of reelection for one additional term.
  • Meetings: Six two-hour Board meetings annually, generally held every other month from 3:00–5:00 p.m. Eastern.
  • Additional time: Approximately two hours per month for preparation, charter-team participation, and other assigned work.
  • Active participation: Review materials in advance, contribute to meetings and annual strategic planning, serve on at least one charter team each year, and respond to staff requests promptly.
  • In-person meeting: Approximately once every three years; the next is planned for 2027. Reasonable expenses for required travel may be reimbursed.
  • Other requirements: Service is unpaid, employer support is required, and members must comply with confidentiality, conflict-of-interest, ethics, antitrust, and artificial intelligence policies.
To ensure your nomination is eligible for review, please complete all sections of this form in full. Incomplete submissions will not be considered.

Questions may be directed to Sara Sherwood at SSherwood@ahca.org

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1. Name (Required.)

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2. Address (Required.)

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3. Email Address (Required.)

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4. Phone Number (Required.)

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5. Company (Required.)

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6. Job Title (Required.)

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7. Length of Time in Long Term Care (Required.)

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8. What professional credentials or certifications do you hold (e.g., industry certifications, licensure, specialized training programs)? (Required.)

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9. Type of Organizational Experience (select all that apply): (Required.)

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10. Please indicate any professional boards you currently serve on, including your role, and length of service. (Required.)

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11. Please indicate any AHCA/NCAL or state affiliate committees or councils that you currently serve on and your length of service. (Required.)

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12. Have you ever written, or been involved with the writing of a Quality Award (or another Baldrige-based) application? (Required.)

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13. Have you served as an Examiner for the Baldrige Program or a Baldrige Based State Award Program or another formalized Performance Excellence Award Program? Select all that apply. (Required.)

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14. Please describe your involvement in continuous quality improvement, including any changes you have helped to support and resulting outcomes. (Required.)

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15. Why do you want to serve on the Quality Award Board, and if elected, what impact could you have on the program? (Required.)

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16. Please describe the expertise, professional networks, or other resources you would bring to help advance one or more of the Board’s strategic objectives: Program Value, Program Recruitment and Retention, Program Capability, and Baldrige Transformation. Please identify the objective(s) to which your experience most directly applies (Required.)

Please provide the contact information of two professional references who can speak to your qualifications and leadership experience. While we may not contact all references, having this information on file helps us better understand your background if needed.

Please ensure your reference is aware of the potential for follow-up.

Note, AHCA/NCAL staff may not serve as a reference.

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17. Reference 1 (Required.)

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18. Reference 2 (Required.)

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19. Please review the following statements and check each box to confirm that you meet the associated requirements.

Note, the Quality Award Board Code of Ethical Standards is available for review here.

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