The Breakthrough Award Nomination
How long has the nominee worked within hospice or palliative care?
Please list any specialty education, training, or certification that this nominee has earned.
Please list any of the nominee's professional memberships.
Please provide an abstract (250 words or less) which includes the following:
1) A summary of the problem addressed or inspiration for the project.
2) The objectives of the research.
3) Brief explanation of the project methodology.
4) Results, conclusions, and recommendations.
Please provide a summary of the nominated piece for publication in the event program. (150 words or less)
Please provide a digital copy or version of the graphic of the poster. If you you have trouble with the upload, please contact the FHPCA office at email@example.com
The winning nominations will be honored at the 2020 Awards of Excellence Luncheon in conjunction with the 2020 Forum. If your nomination is accepted, will you notify the recipient beforehand?
Yes, the nominee will be notified before receiving the award.
No, the nominee will not be told beforehand.
Following the 2020 Awards of Excellence Luncheon, the winning nominees have the opportunity to present for 25-30 minutes about their work as explained in the nomination. Will your nominee be interested in participating in this additional information to share with the Hospice Works attendees about their work?
Yes, the nominee would be willing.
No, the nominee will not be available.
Unknown if the nominee would be willing to participate.