Alzheimer Society of PEI

The Ferne Stevenson Caregiver Award Nomination

The Alzheimer Society exists to serve those living with dementia and equally important, is the Caregiver. 

We all know someone who's a hero. They could be a family member, a neighbor who visits regularly, a friend who cares for a loved one. We want to honour the caregivers who are the backbone of our healthcare system and our communities – our unsung heroes. 

We wanted to recognize a caregiver who exemplifies compassion in person-centered care while promoting programs and services for those affected by Alzheimer's disease and related dementias.

This award is named …the Ferne Stevenson Caregiver Awardin memory of  Ferne Stevenson…  A caregiver who gave generously for her family, friends, and community. 

Contact Information of person or group nominating

Email*
Confirm Email*
Phone*

Nominee Information

Name of Group or Person Being Nominated*
Describe the nominee’s caregiving role:*
What qualities make this nominee an outstanding caregiver?*
How has the nominee helped the person(s) they care for maintain quality of life?*
How has the nominee contributed to eliminating stigma and increasing public awareness?*

PLEASE RETURN COMPLETED APPLICATION BY:  Online, Email, In-Person, or Mail to:

Dementia Friends Leadership Award Nominations Committee

166 Fitzroy St., Charlottetown, PE C1A 1S1

E-mail: society@alzpei.ca

 

                      Deadline: May 22nd, 2020

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