Awards Information Packet

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Awards Information Packet For Awards Presented at the: MISSISSIPPI PUBLIC HEALTH ASSOCIATION 2016 Public Health Conference & Annual Meeting Jackson Hilton October 13 14, 2016

2016 MPHA A W A R D S IN FOR M ATION The Mississippi Public Health Association has a long history of recognition of outstanding public health work in Mississippi. There are many deserving and long serving professionals we would like to recognize as part of our Public Health Conference and Annual Meeting. Please assist us in this as we seek nominations in three award categories: 1. Longevity Awards - Recognizes members who have 20, 25, 30, 35, 40 etc. years of public health service. 2. Section Awards - Our sections recognize outstanding service and professionalism in their respective areas of expertise. 3. Prestige Awards - The highest honors awarded for four specific achievements and lifetime of work accomplishment in public health. DEADLINES In order to plan and adequately prepare for these awards, we have established the following deadlines: 1. Longevity Information Form Must be submitted to the Awards Chair by August 30 2. Section Awards - Nominations must be submitted to Section Chair by September 15 3. Prestige Awards - Nominations must be submitted to the Awards Chair by September 15 OVERVIEW Where? All awards are presented at the Annual Public Health Conference. We encourage your attendance, but you do not have to be present to receive recognition. When? Section Awards will be honored during the 2016 Conference Opening Session. Longevity will be presented during a 2016 Conference luncheon and Prestige Awards TBA. How? You must be a current MPHA member by July 31 and if you attend the conference you must register to attend. Who? Should you have questions, please refer questions to Ron Davis at rpdavis@hotmail.com.

P R E S T I G E A W A R D S MPHA is proud to recognize outstanding contributions through our most prestigious awards in recognition of four outstanding representatives of public health in Mississippi. AWARDS ( Additional Information on these awards available on website at www.mspha.org) Felix J. Underwood Award: Given to individuals who share concern with Dr. Underwood the father of public health in Mississippi for protecting the health of Mississippians. Alton B. Cobb Lifetime Achievement Award: Given to individuals who exemplify the service standards set by Dr. Alton Cobb. Jon Vic Bailey Award: Given to an individual who has performed outstanding service to his or her community or to an individual in the community during the preceding 12 months. Larry H. Rouse MPHA Outstanding Member Award: Given to an individual member of MPHA for outstanding contributions, leadership and achievements in service to MPHA. Individuals nominated must have been active MPHA members for at least five consecutive years to receive this award. PROCESS Nominations are made from members, sections and other public health professionals from across the state. Nominations are accepted by completion and submission of Prestige Nomination Form and supporting documents by September 15, 2016. Winners are selected by vote of the MPHA Executive Committee. MPHA membership must be completed by September,15 2016. Completed Prestige Nomination Forms should be directed to: Alyce Stewart- MPHA Awards V i c e Chair Mississippi State Department of Health, 570 East Woodrow Wilson Blvd, Osborne- O-221 Jackson, MS 39216 Fax: 601-576-7498

P R E S T I G E A W ARD N O M I N ATI O N FORM Prestige Award: (Choose one) Felix J. Underwood Award Alton B. Cobb Lifetime Achievement Award Jon "Vic" Bailey Award Larry H. Rouse MPHA Outstanding Member Award Person Submitting Nomination: Nominee Name: Address: Official Title and Location: Is this Nominee a current Member of MPHA for 2016? Yes No Reason for Nomination: (attach other pages and letters of support as necessary) Mail this completed nomination form before August 15, 2016 deadline to: Alyce Stewart -MPHA Awards V i c e Chair Mississippi State Department of Health, Health Services 570 East Woodrow Wilson Blvd, Osborne- 221 Jackson, MS 39216 Fax: 601-576-7498

L O N G E V I T Y A W A R D If you have been working in the public health field for 20, 25, 30, or 35 etc. by the end of this calendar year, we would like to recognize you for a 2016 MPHA Longevity Award! CRITERIA PROCESS Longevity Awards are based on five year increments beginning with 20 years. The award is based on meeting the five year increment during the current calendar year. (example: 20 years of service by the end of December 2016) It is the employees/members responsibility to apply for this award, not your supervisor or organization. MPHA will receive a list of MSDH employees who may meet the criteria and assist with distribution and determining eligibility. MPHA Membership is required to be eligible for this award. (MPHA membership begins January 1 of each year. If there is a question regarding your membership status, email execdir@mspha.org) Longevity Awards will be presented at the MPHA Annual Public Health Conference during one of the luncheons. Although attendance is not required to receive the award, conference registration is required if you plan on receiving the award in- person. 1. Complete the Longevity Awards Information Form and return to MPHA Awards Chair no later than August 30, 2016. 2. MPHA will verify and acknowledge you meet the service longevity criteria. 3. Assure your current MPHA Membership is completed no later than August 30, 2016. You must also complete a conference registration if you plan to receive award at the conference. Completed Longevity Award Info Form and any questions should be directed to: MPHA Awards Committee C/O Alyce Stewart Mississippi State Department of Health, 570 East Woodrow Wilson Blvd, Osborne 221 Jackson, MS 39216 Fax: 601-576-8190 Contact: Ron Davis at rpdavis@hotmail.com

L O N G EVI T Y A W ARD I N F O F O R M Name Years of public health Service: Brief Service description (ex. 25 years at MSDH or other public health organization) Yes, I am a current 2016 MPHA Member: Yes No No, I have not paid membership but will by July 31st. Yes No Name to appear on Plaque (print clearly) Phone Number: Email: Work Address: Mail this completed Longevity Award Info Form before July 31st deadline to: Alyce Stewart -MPHA Awards Vice Chair Mississippi State Department of Health, 570 East Woodrow Wilson Blvd, Osborne- 221 Jackson, MS 39216 Fax: 601-576- 7498

Section Awards Section Awards are selected by individual Sections who have guidelines pertaining to each nomination and generally recognize outstanding contribution to a specific field or profession. Nominations are generally accepted from Section membership and currently include the following awards. 2016 AWARDS Wilma White Clerk of the Year Office Professional Section Paul M. Rankin Public Health Environmentalist of the Year- Environmentalist Section Durward L. Blakey Epidemiology Award- Epidemiology Section Randy Caperton Administrator of the Year- Health Administration Section Mary D. Osborne Public Health Nurse of the Year- Nursing Section Alfio Rausa Medical Care Section Award-Medical Care Section Public Health Nurse Aide of the Year- Nursing Section Vonda A. Webb Nutritionist of the Year- Nutritionist Section John Barr WIC distribution Clerk of the Year- Office Professional Section TaWanda Ferrill Breastfeeding Award- Nutritionist Section Judy Barber Social Worker of the Year- Social Work Section PROCESS Section Award Nominations are sent to and the responsibility of the Appropriate Section Chair. Contact information for Section Chairs is listed under Awards section on website. Sections may have specific criteria established for their awards. Deadline for Section Chairs to receive nominations is September 15, 2016 Deadline for Sections to determine recipients and notify Awards Chair is September 25, 2016 (absolute deadline to have plaques produced) Section Award recipients must be a current MPHA member and awards will be presented at the Opening Session of the Annual Public Health Conference. For additional criteria and information, please contact the appropriate 2016 Section Chair. They are listed on the MPHA website www.mspha.org under About Us/Organization

S E C T I O N A W ARD NOM I N A T I O N F ORM AWARD: (Choose one) Wilma White Clerk of the Year Office Professional Section Paul M. Rankin Public Health Environmentalist of the Year- Environmentalist Section Durward L. Blakey Epidemiology Award- Epidemiology Section Randy Caperton Administrator of the Year- Health Administration Section Mary D. Osborne Public Health Nurse of the Year- Nursing Section Alfio Rausa Medical Care Section Award-Medical Care Section Public Health Nurse Aide of the Year- Nursing Section Vonda A. Webb Nutritionist of the Year- Nutritionist Section John Barr WIC Distribution Clerk of the Year- Office Professional Section TaWanda Ferrill Breastfeeding Award- Nutritionist Section Judy Barber Social Worker of the Year- Social Work Section Person Submitting Nomination: Date: NOMINEE Name: Address: Official Title and Location: Is this Nominee a current Member of MPHA for 2016? Yes No Award Justification:(Additional pages may be attached if needed) Mail completed nomination directly to the SECTION CHAIR before the September 15, 2016 deadline. See the MPHA website http://mspha.org under About Us/ Organization for the information for each MPHA Section Chair or email execdir@mspha.org