· Web viewTell us a bit about you:Please complete ALL sections in FULL in order for your...
Transcript of · Web viewTell us a bit about you:Please complete ALL sections in FULL in order for your...
Tell us a bit about you:Please complete ALL sections in FULL in order for your nomination to be considered. If Microsoft WORD asks you for a password to allow editing this document, please note there is no password (empty field). Please click enter/return if a password prompt pops up.
Are you a patient, staff member or member of the public?Patient Staff Public
Your name
Job title (if staff member)
Phone number
Mobile
Address/work address
Details of the individual / team / volunteer you wish to nominate
First name
Surname
Department
Their job role
Phone number
Mobile
Please mark the award you are nominating with an X (select one only)
Celebrating people who champion the RD&E’s special qualities: Care & Compassion, Teamwork & Always Improving
People’s Award Clinical Recognising people who champion the RD&E
People’s Award Non-ClinicalRecognising people who champion the RD&E
People’s Team AwardRecognising teams who together achieve the extraordinary
People’s Innovation AwardRecognising trail blazers in innovation
In a few paragraphs please tell us why this person or team should win (max 350 words). To give your nomination the best possible chance, please provide the following information: • Answer each of the questions outlined in the relevant category: see page 3 for category information• Provide concrete examples wherever possible• Describe how the person or team has overcome any challenges along the way
Lastly, are you happy for us to use this information in publicity material? Yes No
Date
Where to send your nomination:1 If you are a patient/carer: Please hand it to a member of staff on your ward or department.2 If you are a staff member: Please forward to your Divisional Director or Head of Service.3 If you are a member of the public: Please email to [email protected] or send to:
Engagement Team (E206), RD&E, Barrack Road, Exeter, Devon, EX2 5DW