LeadingAge Leadership Award

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2025 Nomination Form

The LeadingAge Leadership Award is presented to an individual whose unique leadership attributes have made a significant difference in their organization or local community. This award recognizes leaders at all levels within a member organization, with preference given to nominees in mid-level positions.

Submit your nomination below. For your convenience, you can DRAFT answers to your Nominee Questions with this downloadable Word document. When finished, please copy and paste your answers into this webform. Please fill in all fields.

Nominations are due February 4, 2025. Click here to add a reminder to your calendar.

Nominator Information

Name

Organization

Email Address

Award

Award Year

Type

Nominee Information

Name of Nominee

Title

Organization

Street

City

State

Zip

Phone Number

Is the nominated individual’s organization a nonprofit member of LeadingAge national?

YesNo

Nomination Questions

How does the nominee show organizational and community-level influence in achieving your mission? (200 word limit)

How does the nominee contribute to the greater success and impact of your organization? (200 word limit)

How does the nominee demonstrate great leadership? Please provide specific examples of exceptional and measurable/evidence-based practices. (200 word limit)

How is the nominee engaged in the LeadingAge community at the national, state, and/or local level? (200 word limit)

Nomination Letters of Support

In addition to the above examples of great leadership, provide at least TWO letters of support/recommendation: one from a direct report (required), and in addition, a letter of support/recommendation from a team member, an older adult resident or client, or a resident's or client's family member.

Letter of Recommendation 1:

(Completed by a direct report of the nominee)

Describe why the nominee deserves to be recognized with the Leadership Award. Include specific examples illustrating how the nominee demonstrates their leadership skills.

Letter of Recommendation 2:

(Completed by a team member, an older adult resident or client, or a resident's or client's family member)

Describe why the nominee deserves to be recognized with the Leadership Award. Include specific examples illustrating how the nominee demonstrates their leadership skills.

Organization Statement of Support

As the nominee’s employer, our organization supports this nomination. If this nominee is chosen as the award recipient, we will support them by providing the necessary time off to receive the LeadingAge Leadership Award at the 2025 Leadership Summit, April 7-9, 2025, in Washington, DC.

As administrator, board chair, or chief executive officer (CEO), I certify that I have reviewed this application and agree to support the nominee as outlined above.

Electronic Signature of Administrator/Board Chair/CEO