ASA - American Society on Aging

2010
Recognizing Excellence in the Field of Aging

Apply Online For The NOMA Award for Excellence in Multicultural Aging

"Recognizing best practices in serving a multicultural aging population"

Call for Submissions
Applications Accepted Beginning August 1, 2009
Deadline: Extended to December 3, 2009

Please complete the following form, making sure not to exceed maximum allowable characters.

Application Form

* denotes a required field.

Nominee's Name *

Nominee's Organization *

Name of Program, Product,
Website or Other Submission Entry *

First Name of Principal Contact *

Last Name of Principal Contact *

Title of Principal Contact *

Address *

Additional Address Line

City *

State *

Zip Code *

Phone *

Fax

E-mail *

Website (if applicable)

How did you hear about the NOMA Award for Excellence in Multicultural Aging?

Question 1:
Program Description - Describe the program including how long the program has been in existence, how it is
organized, who is served and how many people served. Describe all services provided. (max: 3000 characters) *

Question 2:
Effectiveness of Programming in Meeting the Needs of a Multicultural Population - Describe how the multicultural group or groups whose needs the program addresses benefited from the program or service. Describe how quality and effectiveness is defined and measured for your program. Explain how the benefits have been measured, and provide at least one measurable outcome of the program.
(max: 3000 characters) *

Question 3:
Innovation - Describe why you believe the program is innovative.
(max: 3000 characters) *

Question 4:
Potential for Replication - Describe how the program could be replicated in other areas or settings and what tools you have created to help others replicate the program.
(max: 3000 characters) *

Question 5:
Partnerships or Coalitions - Describe how the program involves partnerships with other organizations or community groups. Describe the groups and explain their roles.
(max: 3000 characters) *

Question 6:
Two components addressed in one section, 3000 character total limit:
Consumer and Volunteer Involvement (1500 characters) - Describe how consumers and volunteers were involved in the design, governance or administration of the program.
Lessons Learned (1500 characters) - Summarize the lessons you learned in developing this program and advice you would give to others who may wish to replicate your program. Describe any barriers encountered in developing and implementing the program and the strategies used to surmount these obstacles.
(max: 3000 characters, total) *