Association for the Healthcare Environment 155 North Wacker Drive, Suite 400 Chicago, Illinois 60606-1725 Because it’s more than just a job. Value. AHE membership is for those who take their work seriously – men and women who want to develop their skills and further define their careers – because it’s more than just a job. Think you know AHE? It’s time to take a fresh look. Things are changing quickly on the environmental landscape, and AHE is evolving, too. Together, we are: • Visionaries who see past what is to what can be. • Leaders who think strategically and are willing to push the boundaries of professional practice. • Managers who operationalize concepts and put plans into action. • Supervisors who ensure goals are met and standards are upheld. • Professionals who negotiate complex relationships, interact with the public, serve as ambassadors of the facility, and get the job done. • The front line of infection prevention. • Directors who interpret research results and operationalize change. We are many, yet we’re one. One community. Leadership. In addition to wide-reaching professional benefits such as advocacy and alliances with the AHA and other key organizations, AHE membership provides individual and professional benefits for you personally — special access and discounts to a myriad of specialized resources. Take a look at this small sampling of AHE’s offerings (for a comprehensive list visit www.ahe.org): Connect AHE facilitates connections and fosters relationships between peers, mentors, authors, affiliated chapters, and experts from the global community because — networking is instrumental to career success. Education Online courses and webinars in Infection Prevention, Waste Management, Environmental Sanitation, Textiles Management and Operations, and training DVDs for frontline staff. Certification Preparation Study guides, study sessions, self assessment exams (SAE), and courses to prepare individuals to become a Certified Healthcare Environmental Services Professional (CHESP). Publications and Guidance Documents Practice Guidance for Healthcare Environmental Cleaning Second Edition, Contracting Myth and Realities, Staffing the Department, The Recommended Practice Series, and many more. Tools & Resources Career Link — premier electronic career service for employees, employers, and recruiters; Glossary of Healthcare Terms for Environmental Services, membership and business directories. Updates and Alerts Monthly e-news, newsletter, and important legislative alerts and notifications from the American Hospital Association and its affiliates. Awards and Recognition Multiple different categories and opportunities to celebrate member achievements. EXCHANGE Three days of ground-breaking and intense review of research, evidence-based practice, current strategies and tactics, the latest technologies and toolkits, and face-to-face interactions with peers and industry leaders to help you implement top-notch solutions in your facility. Connections My AHE – an online discussion forum where members discuss and share leading practices, local Chapter groups, the AHE LinkedIn Community and opportunities to serve on the board, on committees, work groups, and task forces. Community. Explore our community of practitioners. Membership in AHE is your entrée into a vibrant community of practitioners; professionals intent upon upholding the highest standards and advancing stature and recognition of the importance of the healthcare environment. Whether you are the president of your company, the head of your department, or are just embarking on your career, you are part of the community of practitioners. Together, we are the healthcare environment. We shape professional practice, advance the profession, and promote awareness. Prevention. Education. Membership in AHE allows you to: Explore your leadership capabilities and gain access to the opportunities and tools you need to develop and live up to your maximum potential. Engage through multiple modalities and in a variety of settings, including interactive webinars, seminars, conferences, skills-based training, online courses, and publications. Standards. Management. AHE’s Pillars. From this solid foundation, AHE represents, defines, empowers, and advocates for all professionals responsible for care of health and facility-based environments to ensure quality outcomes and satisfaction. These four pillars are the core of AHE’s comprehensive services and offerings. Exchange out-dated ways of thinking with innovation, participate in unprecedented opportunities to learn, share best practices, experience new products and technologies, network with colleagues and engage with experts at our annual event (additional fees apply). www.ahe.org | [email protected] | (312) 422-3860 Discover AHE. Association for the Healthcare Environment (AHE) is the authoritative source on caring for the healthcare environment: a professional association of the American Hospital Association (AHA) providing leading-edge information and solutions, multi-level training and education, and unparalleled leadership and networking opportunities. Healthcare...and beyond. The healthcare environment requires strict and uncompromising standards — people’s lives are at stake. That makes AHE the perfect training ground for professionals in any industry. AHE has formed alliances with other professionals to ensure the training and education you receive is evidence-based and scientifically sound. You will not receive superior instruction anywhere. Period. AHE is for professionals in support services, risk management, and facility management interested in expanding their environmental services and infection-prevention knowledge. It’s also for infection preventionists, nurses, and other clinicians with an interest in care of the healthcare environment. It’s for contractors, vendors, and manufacturers looking to expand their healthcare knowledge. The AHE Community reaches out to other disciplines within healthcare and beyond healthcare. The AHE Community is for…you. Because it’s not just a job. It’s a career. It’s a calling. And you owe it to yourself to make the most of yours. Join the AHE Community of Practitioners and explore all it has to offer. Become a member of AHE today. www.ahe.org | [email protected] | (312) 422-3860 Date: _______/_______/_______ Membership Status (select one): q new q renewal Membership # (if applicable): __________________________________________________ AHE Membership Application To make sure your membership application is processed correctly, please take the time to complete all applicable sections of the form and include it with your membership payment. Contact Information Prefix: _____________________________________________________________________ Professional Profile First Name: ______________________________________________ Middle Initial: _______ About You Last Name: _________________________________________________________________ Gender: q Male q Female Suffix: _____________________________________________________________________ Designation(s): ______________________________________________________________ ___________________________________________________________________________ Work Title: ______________________________________________________________________ Organization: _______________________________________________________________ Address: ___________________________________________________________________ City, ST, Zip: ________________________________________________________________ Country: ___________________________________________________________________ Work Phone: ___________________________________________ Extension: ___________ Mobile: _______________________________ Fax: _________________________________ Email: _____________________________________________________________________ Home Address: ___________________________________________________________________ City, ST, Zip: ________________________________________________________________ Home Phone: _______________________________________________________________ Mobile: _______________________________ Fax: _________________________________ Email: _____________________________________________________________________ Please send all future AHE communications to my primary address (please select one): q Work q Home Date of Birth: _______/_______/_______ Highest Level of Education: q High School/GED q Some College q Technical School q Associate degree q Bachelor’s degree q Master’s degree q Doctoral degree q Other Years Worked in Environmental Services Profession: q 0-1 years q 11-20 years q 2-5 years q more than 20 years q 6-10 years Level of Responsibility (please select one): q Manager q Administrative Assistant q Supervisor q Associate q Technician q Clinician q Vice President q Consultant q Other q Director q Executive (CEO, CFO, President) Do you belong to a local AHE Chapter (Please specify) q Yes q No Chapter Name: _________________________________ continued on next page AHE Membership Application Continued About Your Organization/Facility Areas in which you work (select all that apply): q Engineering q Environmental Services q Facility Management q Food Services q Linen Services q Patient Transport q Security Services Number of Employees in Department: q 76-100 employees q 1-10 employees q 101-200 employees q 11-25 employees q 26-50 employees q 201-300 employees q more than 300 employees q 51-75 employees Organization Setting: q National q Rural q Suburban q Urban q Other Organization’s Licensed Bed Count: q 1-25 beds q 26-100 beds q 101-300 beds q 301-500 beds q 501-800 beds q More than 800 beds Dues and Payments Please select from the appropriate membership category below. Dues amounts are valid from 1/1/2014 – 12/31/2014. AHE reserves the right to place you in the correct category and bill you for the remaining dues if you sign up for the inappropriate membership category. q Professional Active Member (PAM) $150 Individuals employed by healthcare facilities or providers q Associate Member (ASC) $200 Individuals that provide professional, technical or consulting services, or sell products q Transitional Member (TRAN) $150 Retired individuals or those who are no longer actively employed Total Amount Due: __________________________________________ Annual Purchasing Budget: q Less than $500,000 q $5-10 million q $1-2 million q $10-25 million q $2-3 million q $25-50 million q $3-4 million q $100-500 million q $4-5 million q More than $500 million Payments must be included with all Membership Applications. To process credit card payments, please include your signature on the signature line below. Organization Type (please select one): q Academic Institution q Long Term Care q Acute Care Facility q Managed Care q Assisted Living Organization q Assisted Living Facility q Manufacturer q Consulting q Military/VA/Government q Distributor q Rehabilitation Center q Group Purchasing q Vendor Organization (GPO) q Other q Hospital/Medical Center q Integrated Delivery Network (IDN) Expiration: _______/_______ Type: q VISA q MasterCard q American Express Credit Card #: ________________________________________________ Name (as on card): ____________________________________________ Signature: ___________________________________________________ Date: _______________________________________________________ Mail: Check (made payable to AHE) with application AHE/AHA Attn: Professional Membership Groups P.O. Box 75315 Chicago, IL 60675-5315 Secured Fax: 312-422-3609 (with credit card information) AHEAPP2014
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