Award of Excellence Cover Page

AWARD OF EXCELLENCE COVER PAGE

REPORTING PERIOD: Click here to enter text.
July 1, 2016 – June 30, 2017 (AHAA fiscal year)
DISTRICT: Click here to enter text.
NAME OF HOSPITAL: Click here to enter text.
ADDRESS: Click here to enter text.
NAME OF AUXILIARY: Click here to enter text.
AUXILIARY PRESIDENT’S NAME: Click here to enter text.
AUXILIARY PRESIDENT’S ADDRESS: Click here to enter text.
AUXILIARY PRESIDENTS E-MAIL ADDRESS (REQUIRED): Click here to enter text.
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NAME OF DVS E-MAIL ADDRESS PHONE NUMBER

REPORT COMPILED BY: / Click here to enter text. / Click here to enter text. / Click here to enter text.

NAME TITLE DATE

RETURN BY JULY 1ST TO AHAA PRESIDENT: Margaret Underwood

2811 Harmon Road

Harrison, AR 72601

AWARD / TOTAL POINTS
1 STAR / 15-100
2STAR / 101-225
3 STAR / 226-300
4 STAR / 301-350
5 STAR / 351 +

2017