Award Nomination Form

Complete the nomination form below for the Earl M. Collier Award for Distinguished Health Care Administration, Pioneer Award, Excellence in Community Service Award and the THA Bill Aston Award for Quality. One nomination per submission.

Submit nominations by 5 p.m., Tuesday, March 31, 2026. Nominations received after this date will not be considered.

Questions?
Contact Sharon Beasley at [email protected] or 512/465-1030.

Awards Nomination Form

Choose the award for the nomination:(Required)

Bill Aston Award for Quality

Earl M. Collier Award for Distinguished Health Care Administration

Excellence in Community Service Award

Pioneer Award

Legends Award

Name of Project or Program:(Required)

Nominee's Name:(Required)

Nominee's name as it should appear on the award:

Nominee's Position/Title:

Hospital/Health Care System:(Required)

Hospital/health care system from which the nominee retired:

Retirement Year:

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please attach supplemental documents below, including a one-page executive summary, a one-page budget summary, program/project description and any other supporting statements or documents. Please also include a photograph of the nominated team or hospital, or a photograph that represents/illustrates the program.

Please attach supplemental documents below, including a one-page executive summary of the nominee’s professional achievements and contributions to the health care industry; up to three letters of recommendation; a curriculum vitae or resume for the nominee; and a photo/headshot of the nominee. Additional support documentation may be provided. Nominations may be supported by letters; press releases; financial information; information about patient outcomes, programs and services; and any other information that validates the candidate’s leadership achievements.

Please include a summary of the nominee’s professional achievements and contributions to the health care industry. Note involvement in THA and/or other industry trade associations or professional groups. Attach a complete curriculum vitae, if available, and a headshot of the nominee. Also include individual statements and/or supplemental information or documents addressing activities and accomplishments of the nominee in such fields as health care administration, patient care, health care research or education, and participation in community, civic or pertinent religious activities.

Add attachments here:

Drop files here or

Max. file size: 50 MB.

Submitted by:(Required)

Position/Title:

Hospital/Health Care System:

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone:

Fax:

Email:(Required)

CAPTCHA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.