Skip to content
Accessibility tools
Virginia Health Care Association | Virginia Center for Assisted Living
VLIPP
CareConnection
Products & Services
Associate Members
Buyers’ Guide
Benefits Management Solution
E-Learning
Group Purchasing Program
Person-Center Care
Pledge Partners
Contact
Login
Menu
x
VLIPP
CareConnection
Products & Services
Associate Members
Buyers’ Guide
Benefits Management Solution
E-Learning
Group Purchasing Program
Person-Center Care
Pledge Partners
Contact
Login
Home
About
Who We Are
Join
Benefits
How to Join
Renew Your Dues
Board of Directors
Staff
Committees
Districts
Photo Gallery
Foundation
Overview
Scholarship Applications
Scholarship Recipients
Donate
Make a Payment
Press Room
For Members
CareConnection
Voice of VCAL
Quality of Care
Quality Initiative
AHCA/NCAL National Quality Awards
Quality Initiative Recognition Program
CMP Grant – Reducing Preventable Rehospitalizations
Nursing Facilities
Nursing Facilities Overview
Medicaid & Medicare
Medicaid
CCC Plus
Medicaid Rates
Medicare
Skilled Nursing Facilities Value-Based Purchasing
Patient-Driven Payment Model
Attack Ad Toolkit
Regulatory
CMS Requirements of Participation
Emergency Preparedness – Nursing Centers
Life Safety
Five-Star Rating System
Payroll-Based Journal
Virginia Regulations
Abuse Guidelines
Advance Directives
Background Checks
Survey Trends – SMART
Assisted Living/VCAL
Regulatory – Standards for ALFs
Emergency Preparedness – Assisted Living
Advance Directives
Background Checks
Virginia Auxiliary Grants
Advocacy
General Assembly Session
VHCA PAC
Social Media Toolkit
Social Media Toolkit Overview
Facebook
Twitter
Instagram
Google and Yelp Reviews
Helpful Links
Download VHCA Logo
For Consumers
Find Care
Faces and Stories
Consumer Resource Library
Choosing a Skilled Nursing Facility
Moving into a Long-Term Care Facility
Family Visits
Helpful Links
Our Senior Care Resources
Events
Events Calendar
Exhibitor & Sponsorship Information
Request for Presentation
Careers
Overview
View Jobs
Post a Job
View Resumes
Post a Resume
Career Development Resources
Advanced Nursing Aide Program
Directories
Associate Members
Care Locator
Membership Directory
Awards
AHCA/NCAL National Quality Awards
Annual Awards Program
Nomination Packages for the VHCA-VCAL Awards
Board Nominations
Call for Nominations for the 2025-2026 Term
REQUIRED: I understand that by completing this form in full and submitting it, I consent to have my name submitted to the Nominating Committee to be considered for office as a director of the Virginia Health Care Association – Virginia Center for Assisted Living Board of Directors.
*
I agree
Name:
*
First
Last
Title:
*
Employer:
*
Address:
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone:
*
Email:
*
How long have you served in your current role at your company/facility?
For the 2025-2026 term, the VHCA-VCAL Board of Directors will have openings for the following positions:
*
Make a selection
Assisted Living Director (1 seat; 2 year term)
Associate Member Director (1 seat; 2 year term)
At Large Director (1 seat; 2 year term)
Chairman (1 seat; 1 year term)
Vice Chairman (1 seat; 1 year term)
Secretary/Treasurer (1 seat; 1 year term)
Number of years as a VHCA-VCAL member:
Make a selection
0-5
5-10
10+
Number of years in long term care profession:
Make a selection
0-5
5-10
10+
Organization type:
Make a selection
Proprietary
Not-for-profit
Member type:
Make a selection
Nursing Facility
Assisted Living
Both NF and ALF
Associate Member
What if your role in your organization?
Make a selection
Owner
Chief Executive Officer or State Chief Operating Officer
Senior Staff (e.g., CFO, COO, Chief Clinical Officer, etc.)
Administrator
Other (please specify)
Organization Role - Other:
*
Expertise and skill set (select all that apply):
Governance
Financial
Advocacy
Reimbursement/Managed Care
Clinical
Quality
Communications/PR
Technology
Strategic Planning
What do you think are the major challenges facing VHCA-VCAL and/or the long term care sector today?
Please describe, in your own words, your perception of the role of the position for which you seek to be elected, and the reasons you feel you are best qualified to serve in this position.
Please list any prior association volunteer experience.
Are you aware that as a director you would not be in a ceremonial position, but one with responsibilities to help guide the association including attending 4 quarterly board meetings per year and a biannual strategic planning session?
*
Yes
No
As a director of the board, you will be representing the organization. Will you support positions taken by the Board of Directors even if you opposed the positions when they were being considered and debated by the board?
*
Yes
No
Are you willing to sign an annual conflict of interest statement?
*
Yes
No
Resume/Bio Upload:
Accepted File Types: PDF, DOC, DOCX | Max File Size: 2MB
Accepted file types: pdf, doc, docx, Max. file size: 2 MB.
Untitled
Untitled
Δ