SCCY Form – The Schwartz Center

2026 Schwartz Compassionate Caregiver Award - Nomination Form

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Your Information

Please tell us about yourself.

Your Name*

Your Organization

(if applicable)

Your Email Address*

Your Address*

How did you hear about the award?*

Other:

I am a:*

Other:

Nominee

Please enter the caregiver's information below.

Nominee's Name*

Nominee's Profession*

Nominee's Other Profession*

Nominee's Organization or System*

Nominee's Email Address*

An accurate email address for your nominee is very important. All nominees will be notified using the email address you provide for them. The Schwartz Center will email your nominee a link to the form they need to complete to be considered for the NCCY Award.

Nomination*

Please share why this person should be selected as a National Compassionate Caregiver of the Year, highlighting why this healthcare professional is an extraordinary and compassionate caregiver. Please give examples whenever possible. Award criteria can be found here. We strongly suggest that you save your nomination letter in a Word or Google doc in case there are technical issues during the submission process.

Word Limit: 500

2026 Schwartz Compassionate Caregiver Award - Nomination Form

Your Information

Nominee

Confirmation