Awards

Hospice Volunteer of the Year NominationThe Hospice Volunteer of the Year recognizes a volunteer who has exhibited outstanding dedication, service, compassionate care, and love to hospice patients and their families. The individual goes out of their way to make the lives of hospice patients a little better, their days brighter, and improves their quality of life. The recipient of this award is a current volunteer at an OCHCH member agency.

Nominee Information

Name: Agency:

Address: City: ST: Zip:

Phone: Email:

Volunteer Role:

Special Contributions That Make This Volunteer a Candidate:

Please submit nomination forms by June 1Submit by Mail: Ohio Council for Home Care & Hospice1105 Schrock Road, Suite 120Columbus, OH 43229

Submit by Email: kim@ochch.org

Submit by Fax: (614) 899-0192

Hospice Volunteer of the Year

Special Contributions That Make This Volunteer a Candidate: (continued)

Additional Information:

Nominator InformationName:

Relationship to Nominee:

Agency:

Title:

Phone: Email:

Signature:

I verify the information submitted is accurate to the best of my knowledge. It is understood that information contained on this form or any additional information and photos provided becomes property of OCHCH and may be released to the media.

All nominees not chosen as an award winner will receive a certificate of recognition. Certificates will be mailed to the nominating agency to present to their nominee.

If you have questions, please contact Kim DeVillers at (614) 885-0434 ext. 201.