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MAAP Ruth Helms Award Nomination
Name of Nominee _____________________________________________________________________________
Address ____________________________________________________________________Phone ____________
Facility ______________________________________________________________________________________
Position Held ______________________________________________Years of Service at the Facility ___________
Education, Experience and Background ____________________________________________________________
Nominated By ____________________________________________________________Phone _______________
Address _____________________________________________________________________________________
Additional References for Nomination _____________________________________________________________
Please attach a narrative of 300 words or less including the following criteria for the Ruth Helms Award.
1. Nominee's Characteristics that exemplify their dedication and service to MAAP, the field of Activities and to the clients or residents they serve.
2. Outstanding accomplishments.
3. Please state the reason you feel this person is deserving of this award.
All nominations must be made by MAAP members only and completed on this form with additional sheets attached for complete information as needed. Please submit your nominations by September 13, 2012 To: Laurie Newell MAAP Awards Chairperson 5190 Fowler Road Reading, Michigan 49274
517-439-9341 ext. 262
Friend of MAAP Award Nominee Form
The Friend of MAAP award is given to a person, group or organization outside of MAAP who is dedicated in supporting our goals and working
with MAAP to achieve excellence in serving the elderly. MAAP members may make a nomination.
Name of Nominee, Group or Organization ________________________________________________________________
Address _______________________________________________________________________Phone _______________
Facility Employed ____________________________________________________________________________________
Position _________________________________________________________ Years of Service at Facility ____________
Education, Experience and Background __________________________________________________________________
Nominated By __________________________________________________________________Phone:______________
Address ___________________________________________________________________________________________
Additional References for Nomination ___________________________________________________________________
Please attach a narrative of 300 words or less using the following criteria for the Friend of MAAP Award:
1. Nominee's Characteristics that exemplify their dedication and service to MAAP, the field of Activities and to the clients or residents they serve.
2. If the nominee is an organization, list the contributions such as gifts, grants, donations or networking they offer.
3. Outstanding accomplishments.
4. Please state the reason you feel this person or organization is deserving of this award.
All nominations must be made by MAAP members only and completed on this form with additional sheets attached for complete information as needed. Please submit your nominations by September 12, 2012 To:
Laurie Newell MAAP Awards Chairperson 5190 Fowler Road Reading, Michigan 49274 517-439-9341 ext. 262
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