Nominee
Sponsor

PLEASE PROVIDE THE FOLLOWING INFORMATION:

  • The length of time and the positions the nominee has held in the health care setting
  • A description of the impact the nominee has made in the health care field, giving specific examples
  • A description of what the nominee has done to promote the profession of social work, citing specific projects, initiatives, events, etc.
  • A list of any committees/groups the nominee was involved in at work
  • A description of the nominee’s involvement in his/her community, including a list of any committees, boards or other groups or agencies the nominee is/was involved in or with
  • Any other information that may assist the panel in making its recommendation

IN ADDITION, PLEASE PROVIDE:

  • Two letters of recommendation. It would be preferable if at least one was from a social worker
  • The nominee’s current curriculum vitae or resume of the nominee