ACHE Diversity Champion Award Nomination Form
Nominator Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Please describe your relationship to the nominee:
*
Nominee Information
Name
*
First Name
Last Name
Credentials
*
Job Title
*
Organization
*
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Member of ACHE-WI?
*
Yes
No
Please describe how the nominee has demonstrated the following attributes:
Encourages racially and ethnically diverse healthcare executives, who are not ACHE members, to join and become active at both the local (via chapters) and national levels.
Organizational diversity and inclusion:
At or demonstrated progress to the 8% national average for diversity in healthcare leadership
Perpetuates and sustains a diversity and inclusion committee
The organization’s leaders are required to go through diversity and inclusion training
Promotes diversity in leadership:
Offers internships, residencies and fellowships to racially/ethnically diverse students and provide mentoring to help prepare them for success in the job market.”
Recruits and promotes to increase diversity and inclusion in leadership”
Mentors and promotes diverse emerging leaders, and encourages ACHE membership
Promotes healthcare careers to diverse populations via school programs and community organizations.
Encourages students to shadow healthcare executives and explore careers in healthcare.
Advocates for diversity in leadership: Advocates for healthcare systems that serves racially and ethnically diverse communities
Advocates for a diverse and inclusive healthcare workplace”
Works with organizations representing racially/ethnically diverse individuals within their communities to create sources for scholarships and fellowships
Speaks publicly and advocates for diversity and inclusion
Extends invitations to host events such as executive breakfasts, chapter networking events and educational programs.
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