The Leukemia & Lymphoma Society (LLS) Hematology-Oncology Social Worker of the Year Nomination Form

Submission Deadline: March 31, 2023

About this Award
The Leukemia & Lymphoma Society (LLS) recognizes the extraordinary work of an oncology social worker with the Hematology-Oncology Social Worker of the Year Award presented at the opening session of the Association of Oncology Social Work (AOSW) National Conference.

Submissions must contain

A completed nomination form
Nominee's resume or curriculum vitae
Letters of support (minimum of two, no more than four) addressing criteria for the appropriate award from other social work professionals, co-workers, hospital administrators, or community agency representatives. The letters of support should address the nominee's demonstrated professionalism, integrity and commitment to oncology social work.

Question Title

* Nominee (Please complete all fields)

Name *

Company *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number *

The Leukemia & Lymphoma Society (LLS) Hematology-Oncology Social Worker of the Year Nomination Form

Submission Deadline: March 31, 2023

Question Title

* Nominee (Please complete all fields)

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* Number of years in oncology social work

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* Number of years in hematology oncology social work

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* Number of years involved with The Leukemia & Lymphoma Society

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* AOSW member since