2017 SHARP Nomination Form

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Photo of caregiver hand on older hand holding a cane.2017 SHARP Awards Nomination Form

Applications Accepted from February 8 - April 21, 2017

 

Nomination Criteria
To be eligible, direct care workers must have served clients in Orange County within the past year. Each person may be nominated in two categories.

Each nominee must: Provide direct care to clients as a primary function of their job. Have at least six consecutive months of service in the past year. Maintain & project a professional demeanor & exhibit dependability. Actively demonstrate pride in being a direct care worker and selflessly serve others in the course of their duties.

Categories and Special Criteria
Awards will be given in following five categories with special attention to the criteria as noted:
Client Impact: Frequently recognized or praised for their efforts that make an impact
on the quality of their clients’ lives.
Leadership: Serves as a role model and demonstrates teamwork & willingness to help
other direct care workers and staff.
Going the Extra Mile: Passionate about providing extraordinary care to their clients in
ways that exceed expectations.
Rising Star: Has been a caregiver for less than three years and demonstrates
enormous promise in the profession.
If selected as an the Award Recipient the individual agrees to be represented in photographs and videos, as well as included in any and all public relations ads and media campaigns.

Selection Process
The SHARP Award winners will be selected by representatives from Project EngAGE. Project EngAGE is a senior leadership program sponsored by Orange County Department on Aging. The SHARP Committee is comprised of professionals from senior care, healthcare and caregiving support organizations from the Greater Orange County community.

Nominations will be accepted from February 8 - April 21.  Award winners will be recognized at a ceremony on May 25, 2017.  

NOTE: To submit your nomination, please enter the security code at the end of the form below and click "Submit."
2017 SHARP Nomination Form
* Required  
* Today's Date:   
Nominator Information 
 * First Name:  
 * Last Name:  
Please give one or more reliable contact methods below.
 Email Address:
 Phone:  
 Cell Phone:  
 Address:  
 City:  
 State:  
 Zip Code:  
Nominee Information 
 * Company:  
 * Job Title:  
 * Address 1:  
 Address 2:  
 * City:  
 * State:  
 * Zip Code:  
 * Phone:  
 Email Address:  
Does the nominee meet each criteria as described?  Yes     No
* How long has the nominee been a direct care worker (in years)?  
* What is your nominee's first and last name?  
* How long has the nominee worked for you or your company?  
* What are the primary job functions of this nominee?  
Select up to two (2) awards for which you would like
your nominee considered:
 
 
Answer the questions below that correspond to the award(s) that you have just selected your nominee to be considered for above. 
Client Impact Award: Give an example of changes in a 
clients environment, care or other areas and how they have
impacted the clients life.
Longevity Award: Why do you think this person has
remained in their position for so long?
Leadership Award: Give examples of times when the
direct care worker has acted as a role model,
demonstrated teamwork and/or what the caregiver has
done that was helpful to other caregivers.
Going the Extra Mile: Give examples of what the direct care
worker has done to demonstrate extraordinary care that exceeds
expectations.
Rising Star Award: Give examples of why you think this person
has enormous promise in the profession.