Awards - Individual Excellence - West Virginia Health Care Association

Please use the following guidelines.

Eligibility and Criteria:

This award category is available to both nursing facility and assisted living members. The purpose of this award is to recognize an outstanding employee in a long-term care member facility that provides support to staff members who work directly with residents. They may include Social Workers, Environmental Staff, Activity Professionals, Dietary Staff, Business Office Managers, Marketing Admissions Coordinators, etc.

The goal of this award is to honor outstanding employees who work in support of the delivery of care in their facilities.

Refer to the Rules of Entry for additional requirements and guidelines to explain why this nominee should be the recipient of the award based on the criteria below.

Awards - Individual Excellence

Nominee Name*
First Last
Nominee Title*

Professional License(s)
List all professional license(s) held by the nominee (if applicable)
Facility*

Facility Address*
Street Address City State ZIP Code

Facility Phone*

Your Name*
First Last
Your Title*

Your Email Address*
(A notification email will be sent to this address)

Administrator's Name
First Last
(if different than above)
Administrator's Email Address*
(A notification email will be sent to the facility administrator)

Has the Administrator of the Facility approved this nomination?*
Yes
No
1. How long has your candidate worked in the long-term care profession?*

2. What skills separate this nominee from his or her peers?*
(The nominee must remain anonymous for the judges. Please do not use this person's name in your answer.)
3. Describe one way this nominee makes your facility a good place to work.*
(The nominee must remain anonymous for the judges. Please do not use this person's name in your answer.)
4. What attributes or special qualities does this nominee exhibit?*
(The nominee must remain anonymous for the judges. Please do not use this person's name in your answer.)
5. How does this employee demonstrate exceptional performance?*
(The nominee must remain anonymous for the judges. Please do not use this person's name in your answer.)

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Awards – Individual Excellence

Awards - Individual Excellence

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