Get Excellence In Person-centered Care Nomination Form - Kahsa

Filling out the Excellence in Person-Centered Care Nomination Form is an important step in recognizing individuals who excel in providing person-centered services for elders. This guide offers detailed instructions to ensure that your nomination is submitted accurately and effectively.

Follow the steps to complete your nomination form successfully.

1. Use the ‘Get Form’ button to obtain the nomination form and open it in a digital editing tool.
2. Provide the name of the nominee in the designated field. Ensure that you enter the full name accurately to avoid any disqualification issues.
3. Enter the name of the organization the nominee is affiliated with as this information is crucial for the judging process.
4. In the section labeled 'Name of Nominator,' input your full name. This identifies you as the person submitting the nomination.
5. Fill in the 'Name of Nominator’s Organization/Business' field to give context about who is supporting the nomination.
6. Complete the address section with the organization’s full address, including city, state, and zip code. Accurate details are important for communication purposes.
7. Provide your telephone number, fax, and email address in the respective fields for follow-up correspondence.
8. Answer the preliminary questions regarding agreement to consider your nomination for another category and consent for videotaping. Mark your responses clearly.
9. In the next sections, describe the nominated program, focusing on why it is person-centered, the specific impact it has had on elders, and the unique characteristics that set it apart.
10. Include any supportive documentation such as testimonials, photos, or additional information that reinforces your nomination.
11. Once all sections are filled, review the form for completeness and accuracy. Ensure that all information is typed or formatted correctly.
12. Save your changes, then download or print your completed form as needed. Prepare to send one original and two copies of the nomination packet to the specified address.

Take action now and complete your nomination form online to recognize outstanding person-centered care!