2018Educator of the YearAward

This award serves to recognize an Individual Professional member who has demonstrated excellence in the area of healthcare documentation education, either as an educational program instructor/coordinator, as a contributor to AHDI educational programs/initiatives, or as a trainer/instructor of online or on-site continuing education programs for AHDI members and/or the industry. These activities can be from either sustained, long-term contributions as an educator or through a single unique, high-impact contribution made to industry education during the calendar year prior to nomination.

The nominee must:

  • Be an Individual Professional member and have sustained this membership for at least the previous three (3) consecutive years prior to being nominated.
  • Demonstrate measurable and instrumental engagement in promoting/advancing industry education goals.
  • Possess unique leadership characteristics that distinguish the nominee from peers and other educators in the industry.

Submit this nomination form on behalf of a qualifying colleague by April 30, 2018. This form is designed to be filled out and submitted electronically.

* Nominator must be a member of AHDI.

The recipient receives a/an:

  • Commemorative award.
  • A complimentary registration to the next year’s Annual Convention & Exposition (ACE).
  • Announcement of award via AHDI publications and social media streams.

Return this nomination form by email no later thanApril 30, 2018 to:

AHDI Awards Committee

Attn: Tina Wilson

2018educator of the yearAWARD NOMINATION FORM

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Nominee

Name
AHDI Member No.
Staff will look up / Phone No.
Email address / School/Business
Street Address / City / State / ZIP code

NOMINATED BY

Name / Phone No. / Email address

award criteria & qualifications

Criteria #1
Nominee must be an Individual Professional Member of AHDI and have sustained this membership for at least the previous three consecutive years prior to being nominated.
Staff will verify each nominee’s membership.
Has the nominee been an AHDI member for the previous 3 consecutive years? Yes No Not sure (enter X to select)
Criteria #2
Nominee must demonstrate measurable and instrumental engagement in promoting and advancing industry education goals.
List contributions and activities of the nominee that demonstrate a unique commitment to education. Provide details and information that clearly distinguish the educational efforts of the nominee. Be specific.
Criteria #3
Nominee must possess unique leadership characteristics that distinguish the nominee from peers and other educators in the industry.
Describe the leadership qualities of the nominee that set this person apart from colleagues, coworkers, and other educators. Be specific.
Criteria #3 (cont.)

ADDITIONAL ITEMS CHECKLIST (PLEASE ATTACH/INCLUDE WITH APPLICATION)

High-resolution photo (.jpg)? Yes (enter X to select)
Permission of nominee for AHDI to use this photo to promote this nomination and potential award? Yes Not sure
Special attachments? Yes No *
* Special attachments would include any documents, copies of published works, photos, or letters of testimony or reference you may wish to include in support of your nomination of this candidate. These are encouraged but not required.
AFFIDAVIT
I attest that the information provided in this nomination formis true and factual to the best of my knowledge about the nominee and his/her activities as they relate to this award.
Date:

02/06/2018