EmailMe Form - Catalyst Award Nomination

Nominee Name

Prefix First Last

Nominee Title

Organization Name

Nominator Name

Nominator Title

Nominator Email

How long has the nominee worked within hospice or palliative care?

Please list any specialty education, training, or certification that this nominee has earned.

Please list any of the nominee's professional memberships.

Provide an essay (no longer than two pages) which includes ALL of the following:

1. Identify the individual you are nominating and their role in the agency.
2. Discuss the work of the individual and the impact this work has on other people. teams, or the agency as a whole.
3. Describe the benefits of achievements that this individual has brought to the agency (ie - cost savings, new innovation, streamlined processes, improved morale, etc.)
4. Give specific examples of how this individual exemplifies, fosters and facilitates teamwork.
5. Describe any challenges or hurdles that were met and how they were overcome.
6. What lessons or practical application can other hospice programs learn from this individual?

Please note: The use of specific details will enhance the quality of your nomination.

Essay Upload

Image Upload (1)

Image Upload (2)

Image Upload (3)

Image Upload (optional 4)

Image Upload (optional 5)

The winning nominations will be honored at the 2024 Awards of Excellence Luncheon in conjunction with the 2024 Forum. If your nomination is accepted, will you notify the recipient beforehand?

Yes, the nominee will be notified before receiving the award.

No, the nominee will not be told beforehand.