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Caregiver of the Month Nomination Form

Caregiver of the Month Nomination Form

Family Legacy likes to be sure that any caregivers who has gone above and beyond the regular call of duty while caring for a family is recognized.  Your nomination may include hospice caregivers, family members, nurses, volunteers at caregiving facilities, social workers or anyone deserving of recognition for providing care.

Each month one caregiver will be selected as our Caregiver of the Month.  We will also select one Caregiver of the Year.  Winner will be notified and highlighted on our Facebook page and the blog on our website.

Highlights include:

  • Monthly winner receives a $25 gift card and a 3D crystal key ring
  • Annual Luncheon to recognize all winners
  • Caregiver of the Year will be announced at the luncheon
  • Caregiver of the Year gets a 3 night stay at a Destin, Florida condominium with $200 spending money, engraved gift and plaque for display at office/home
  • Recognition on our website and on Facebook

Did someone make a difference for your family?  We want to know!


Caregiver Nomination Form

  • (if not part of an organization)
  • A detailed, thoughtful description is important. Tell us about your nominee and what is special/exceptional about their caregiving work. (To be read when the award is presented.)
Caregiver of the Month Nomination Form

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