Beacon Award Application

The AAHID Beacon Award application must be completed in its entirety to be considered. The deadline to apply is Friday, June 19th.

To learn more about the Beacon Award, eligibility, and application review process, please refer to the award information on the AAHID website.

Documents and information you will need to provide to complete the application:

Completed Nominee Written Statements, using the form below, including specific examples of your contributions to AAHID and healthcare interior designed based on Leadership, Mentoring/Education, and Advancing the Mission and Vision of AAHID. Statements may not exceed 500 words.
One (1) Endorsement/Recommendation letter that can come from anyone (another CHID, a professional colleague, etc. ) This letter should include specific examples of how the nominee contributes to the healthcare design/architecture field through the reference's first-hand experience with the nominee.

Note: If you are unable to complete the entire application at one time, you can click the Save and Continue button at the bottom of the form. A link will be displayed which you can copy and use to return and finish your application later. The link will expire in 30 days.

AAHID Beacon Award Application

"*" indicates required fields

URL

This field is for validation purposes and should be left unchanged.

Nominee First Name*

Nominee Last Name*

Nominee Credentials*

Nominee Primary Email Address*

Nominee Work Phone

Nominee Mobile Phone

Nominee Employer*

Nominee Job Title*

Nominee # of Years CHID Certified*

Nominee Home Address

Address

Address 2

City

State

Zip Code

Province or Territory

Country

Nominee Written Statement

Please give specific examples of your contributions to AAHID and healthcare interior design based on the following criteria (statement may not exceed 500 words):

Leadership*

(i.e. involvement with AAHID, other professional organizations/publications, or within your workplace)

Mentoring/Education*

(i.e. mentoring a student in healthcare interior design, speaking at a professional conference, etc.)

Advancing the mission and vision of AAHID*

(i.e. Advocating for and increasing visibility/credibility of the CHID credential)

Endorsement/Recommendation Letter

Please complete the information below and upload a copy of the endorsement/recommendation letter. This letter can come from anyone (another CHID, a professional colleague, etc.) It should include specific examples of how the nominee contributes to the healthcare design/architecture field through their first-hand experience with the nominee. References may be contacted for additional information or clarification of information. All references will be blinded (no identifying information) during the award application review process.

Reference Full Name*

Reference Primary Email Address*

Reference Employer*

Reference Job Title*

Reference Relationship to the Nominee*

(i.e. how they know the nominee, where they worked or volunteered together, and the approximate timeframe of their association.

Upload Endorsement/Recommendation Letter*

(should include specific examples of how the nominee contributes to the healthcare design/architecture field through first-hand experience with the nominee.)

Accepted file types: jpg, png, gif, pdf, doc, docx, Max. file size: 5 MB.

Upload Nominee Photo (Optional)

Accepted file types: jpg, png, gif, Max. file size: 1 MB.

Submitter's Signature*

Type your first and last name above as your electronic signature.

Date*