AMERICAN SOCIETY FOR HEALTHCARE HUMAN

RESOURCES ADMINISTRATION

NOMINATION: OUTSTANDING CHAPTER ACHIEVEMENT AWARD

Purpose:

To recognize an HR professional from each affiliated chapter whose significant contributions advance the healthcare Human Resources profession. This exemplary HR leadership during 2006 warrants recognition from ASHHRA. The Society feels it is important and worthwhile to recognize an outstanding Chapter member who is not in the role of a chapter officer.

Any chapter member in good standing excluding any Chapter officer is eligible for this Award. The recipient is not required to be an ASHHRA member. The selection process will take place at the Chapter level and can be done through whatever method the Chapter leadership deems appropriate. Some examples might include a special committee, a general membership vote, an executive committee selection, etc. Only one award nomination per chapter will be allowed.

*Process:

1.  Chapter develops a selection process (Selection Committee, Executive Committee, etc.)

2.  Chapter designee completes nomination form

3.  Chapter President signs or acknowledges support

4.  Complete nomination form submitted by June 22,2007

Mail or e-mail submission to: Regina Stoker, ASHHRA, One N. Franklin, Chicago, IL 60606

(E-mail) (Phone) 312/422-3725 (Fax) 312/422-4577

*NO SUBMISSION WILL BE CONSIDERED UNLESS ALL STEPS IN THE ABOVE PROCESS ARE FOLLOWED

Selection Criteria:

ASHHRA’s Regional, Chapter, & Member Services Committee will review all nominations and select award recipient based upon the following criteria:

·  Local Chapter member or ASHHRA National member

and

·  Demonstration of significant contribution as an HR Leader at the Chapter/Regional/National level

or

·  Demonstration of significant contribution as an HR Leader in Chapter activities and/or special projects that advances the healthcare Human Resources profession.

Award:

Award recipient will receive the following recognition:

·  Congratulatory letter from ASHHRA President with a copy to the award recipient’s CEO & immediate manager

·  Recognition and award presented at the ASHHRA Annual Conference

·  Recognition in the ASHHRA quarterly magazine, the HR Pulse

REQUIRED DOCUMENTATION

Please attach word processed narrative (maximum 1 page) supporting the nomination with evidence of significant nominee involvement in a leadership role in ASHHRA at the Chapter, Regional, and/or National level OR significant nominee involvement in Chapter activities and/or special projects.

NOMINATION FORM (Outstanding Chapter Achievement Award)

(All blanks must be filled in)

Nominee:______Title: ______

Organization: ______Phone:______

Address: ______Fax:______

City, State, Zip:______Email: ______

Region: ______Chapter’s Complete Name (spell out):

______

Nominee’s CEO & Immediate Manager: ______

______

Address (only if different from above):______

Nominator:______Title: ______

Organization: ______Phone:______

Address: ______Fax:______

City, State, Zip:______Email: ______

Nominator Signature: ______Date:______

Chapter President’s (CP) Signature: Date:______

Nominator/CP: (If you are sending this document electronically,

type your name or provide an electronic signature and date the submission)

REQUIRED DOCUMENTATION

Please attach a word processed narrative (maximum 1 page) supporting the nomination with evidence of significant nominee involvement in a leadership role in ASHHRA at the Chapter, Regional, and/or National level OR significant nominee involvement in Chapter activities and/or special projects.

Nominator:

Submit completed nomination form to the Chapter President prior to deadline date allowing sufficient time to review. It is the responsibility of the nominator to confirm with the Chapter President that your nomination has been forwarded by the deadline date.

Chapter President:

Submit completed nomination form by June 22, 2007

Mail or e-mail submission to: Regina Stoker, ASHHRA, One N. Franklin, Chicago, IL 60606

(E-mail) (Phone) 312/422-3725 (Fax) 312/422-4577