Volunteers are the Foundation of Hospice Awards
Nomination Worksheet
This worksheet will help you prepare a nomination. It does not replace the online submission.
All nominations need to be submitted online using the forms at: .
The nomination deadline is close of business, July 17, 2015.
Nominations are sought for the following categories:
- Organizational Support, volunteers whose work supports the organization as a whole; may include fundraising, board service, outreach,or administrative support
- Patient/Family Service, volunteers working directly with patients, their families, and loved ones
- Specialized Volunteer Service,volunteers who have supported hospice patients and families through a specialized volunteer program such as We Honor Veterans, pediatric care, pet therapy, bereavement support, spiritual care, massageand other complimentary therapies, etc.
- Young Leader, high school and college students whose volunteer contributions made a significant impact on the hospice. Nominees for this category must be between the ages of 14 and 22.
The awards will be presented during the Clinical Team Conference, October 15 - 17, 2015 at the Gaylord Texan Resort and Convention Center in Grapevine, Texas.It is hoped that the honorees will be able to accept the award in person.
If you have questions or need additional help, contact Don Cook at .
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Prior to submitting the online nomination, have the following contact information handy.
About you, the nominator:
Name
Title
Organization*
Address
City/Town
State
Zip
Phone
About the superstar volunteer:
Name
Organization*
Home Address
City/Town
State
Zip
Phone
Tell us about your volunteer
Responses to the following items should be brief and specific.
1. Commitment
Describe how this volunteer has demonstrated a considerable commitment in terms of time, responsibility assumed and longevity of service. Include how long he/she has been a volunteer; how much time he/she volunteers annually; how his/her responsibilities have increased, over time.
2. Impact
Describe how this volunteer has made a notable impact in the chosen award category.
- Organizational Support…making a significant contribution to the hospice organization and community through his/her volunteer efforts. Include concrete examples/stories.
- Patient/Family Volunteer… positively influencing the quality of life of patients and families whom he/she has supported. Include concrete examples/stories.
- Specialized Volunteer Service… serving patients and families through a specialized volunteer program such as We Honor Veterans, pediatric support, pet therapy, bereavement support, spiritual support, massage and other complementary therapies, etc.
- Young Leader…makinga significant impact upon patients and families or the hospice organization, and his/her community through volunteer efforts. Include concrete examples/stories.
3. Personal Growth
Describe how this volunteer has realized significant personal growth through his/her volunteer work and how that has been demonstrated. Provide concrete examples.
4. Inspiration to Others
Provide concrete examples or stories of how this volunteer has served as an inspiration to fellow volunteers, the hospice organization and his/her community.
5. Additional Information
Tell us one more thing that is important to know or consider about this volunteer; something that strengthens his/her nomination.