Must be submitted by A Facility Administrator
This year, as an administrator, if you have someone in your facility that you would like to be a recipient of an award at the conference, please fill out the attached application. Please also allow the recipient to attend the conference to receive their award. The awards this year include the following:
The AJDA Employee of The Year Award- This award would be given to an individual in your facility who has gone above and beyond their job responsibilities in character, responsibility, and teamwork. This award reflects someone who shows initiative and who gives 100% of their energy to make the facility work day in and out. Please describe the circumstances on the following page.
The AJDA Life Saving Award- This award will be given to an individual in your facility who actually was responsible for saving a life on the job in 2010. Please describe the circumstances on the following page.
The AJDA Volunteer of The Year Award- This award will be given to an individual who shows remarkable dedication and excellence to volunteering at your facility in whatever capacity they are dedicated. Please describe the circumstances on the following page.
The AJDA Service of The Year Award- This award will be given to an individual in your facility that has gone above and beyond in their responsibilities in the field of Social Work, Medical, Education, etc. Please describe what they do and how they have helped others.
Please specify type of award on the Award Nomination Sheet. Thank you.
AJDA 2012 Spring Conference
April 24th – 26th
Each facility that held membership in the Association last year may submit one recipient for each category. (Multiple awards may be given for the Life Saving Award)
Mailing Address: ___________________________________________
City/State/Zip: _______________________ Phone:_______________
Fax: ___________________ e-mail: __________________________
Type of Award:
Employee of the Year Lifesaving Volunteer of the Year Service Award
Employee of the Year
Volunteer of the Year
Name of recipient: (as it should appear on the award)
Nominations must be turned in by 3/12/2012 to: