Nominations. Title. Call for Award . In the meantime, if you would like to send a compliment for a medical assistant's work, please see the Compliment Form. Sample Award Justification NOTE: ALL awards (regardless of amount, unless otherwise specified in an Union Agreement) require a separate written justification to be attached to the AD 287-2. In the meantime, if you would like to send a compliment for a nurse's work, please see the Compliment Form. Also, use this section to document external agency concurrence as needed. In the future, the Iris Award may be awarded to clerical staff at other Presbyterian hospitals and locations. Call for Nominations. This award is named after Taylor McKenzie (1931 – April 13, 2007) was the first Navajo medical doctor (since 1958), the Vice President of the Navajo Nation (1999–2003, under Kelsey A. Begaye), and the first Navajo Nation Chief Medical The American Legion Eagle Scout of the Year ... Eagle Award Received: _____ Palms: _____ Section B – Scouting Record. PHS-CCAB, Public Health Service Commissioned Corps Awards Board, Commissioned Corps Interagency Awards Board, and CCIAB & SG: the Surgeon General. The COA Board of Directors and In the meantime, if you would like to send a compliment for a clerical staff member’s work, please see the Compliment Form. Nominations … The committee that reviews award nominations may not be familiar with these terms. NOTE: Public Health Service Commissioned Corps . INDIVIDUAL HONOR AWARD NOMINATION RECORD PART I. OFFICER’S NAME (Last, First, MI) ENTRY ON DUTY DATE PHS RANK (O - 1 through O - 10) PHS PROFESSIONAL CATEGORY EMPLOYEE ID NO. And for these instances, an employee nomination form is the easiest way to gather votes. the Assistant Secretary for Health (ASH), Admiral Brett Giroir, M.D., graciously . Excerpts of the address can be found below. In the future, the DAISY Award may be awarded to nurses at other Presbyterian hospitals & locations. With seven days remaining on his term as . this award, which is equivalent to the PHS Achievement Medal. PROPOSED AWARD PERIOD COVERED (mm/day/yyyy) From To. Type agency head signature block on each form. on page 20. 11) Limit the use of technical words, jargon, and acronyms. * Please describe this medical assistant's exceptional patient care. This employee award nomination form template will have fields that best describe the employee being nominated. The COA Civilian Outstanding Support of the USPHS Commissioned Corps Award is an award presented by the Association to those civilian (individuals and/or groups) who have distinguished themselves in their service to the Commissioned Corps (Corps). Use the form PHS 6342-1 for unit nominations and PHS 6342-2 for individuals nominations. CURRENT ORGANIZATION ORGANIZATIONAL TITLE OR POSITION. Group Awards: NOMINATION FORM. COMMENT: For nominations that have a lower level award endorsed, provide relevant useful comments. spent an hour addressing members of the Commissioned Officers Association. Attach the 1-2 page narrative justification (permissible length depends on the specific award; see the NIH Awards Handbook). Commissioned Corps of the U.S. Public Health Service – General Instructions for Completing Medical Examination Forms DD-2807-1 "Report of Medical History" and DD-2808 "Report of Medical Examination" ... PHS-6342-2: Individual Honor Award Nomination Record - Part 1: 10/16. Nominations within a company is a great way to boost morale. 12) If the award nomination period and accomplishments overlap other awards, explain this in the narrative. Honor Award Criteria. * Unit or Department Name * Please describe this nurse's exceptional patient care. 10) Fill out nomination form thoroughly and correctly. Page 9. see GIROIR. Please describe this Clerical Staff member's exceptional patient care. 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