2022 Sheila McMackin Leadership Award Nomination Form

2022 Sheila McMackin Leadership Award Nomination Form
Nomination Deadline: August 12, 2022

NOMINATOR Information

* Indicates required field

Nominator Name *

First

Last

Nominator Email *

NOMINEE Information

Nominee Name *

First

Last

Nominee Email *

Agency Name *

Agency Address *

Address 2 *

City *

State *

Zip *

Phone Number *

NOMINATION

Years as HCAOA Member *

Does the nominee demonstrate exceptional leadership skills by serving on a national committee/task force, Board of Directors or a Chapter officer? *

What capacity does the nominee serve the HCAOA? *

How does the nominee demonstrate outstanding leadership skills in spearheading various HCAOA activities that resulted in successful outcomes? *

Is the nominee a nationally recognized leader by their peers? *

Describe how the nominee displays integrity and high standards of ethical behavior in his/her everyday performance as a home care organization leader. *

Submit Nomination