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2022 Allen Hager Legislative 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
*
Please provide the total number of years this nominee has been a member of the HCAOA.
Does the nominee demonstrate exceptional leadership skills by serving on a national committee/task force, Board of Directors or a Chapter officer?
*
Yes
No
Option 3
What capacity does the nominee serve the HCAOA?
*
Please name any known committee/task force, Board of Directors or Chapter this nominee serves.
How does the nominee exhibit a high degree of professionalism, competence and integrity in serving the chapter/association?
*
Does the nominee actively work with other members to establish common ground, consensus and a united voice on issues?
*
Yes
No
Not certain
Describe the nominees experience in meeting with lawmakers to educate and garner their support on proposed legislation.
*
Submit Nomination
Membership Resources
Member Login
Code of Conduct
Resources
Newsletters
Product & Services Guide
Join HCAOA
Member-Get-A-Member
Benefits: Agency Membership
Benefits: Associate Membership
State Chapters
State Chapters
Education/Events
Calendar
Advocacy/Policy
Home Care Workforce Crisis: An Industry Report and Call to Action
Advocacy Fund
State of Home Care: Industry at Crossroads
Home Care Workforce Action Alliance
Caring for Seniors: Value of Home Care
Home Care by the Numbers
Issues & Positions
Legislative Action Network
State Legislation Tracker
Federal Legislation Tracker
2024 National Advocacy Day
About HCAOA
Mission & Vision
Board of Directors
Committees
Staff
Caregiver of the Year Award
News Releases
Advertising & Marketing
Contact Us
Find a Job