AWARDS
SUBMISSION
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)
Facility:
__________________________________________________
Administrator: _____________________________________________
Mailing Address: ___________________________________________
City/State/Zip: _______________________ Phone:_______________
Fax: ___________________ e-mail: __________________________
Type of
Award:
€ Employee of the Year € Lifesaving € Volunteer of the Year € Service Award
Name of
recipient: (as it should appear on the award)
Description:
_____________________________________________________________________________________________________________________________________________________________________________________________________________
Nominations
must be turned in by 3/12/2012 to:
c/o