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Staff nomination form

Please ensure that you give as much information about your nominee as possible when submitting the information. The judges will need to know all of the details when shortlisting, so please try to give more than a couple of sentences in each section.


                
                        Award category*Rising star
Distinguished service
Working in collaboration
Leading with integrity
Support service of the year
Frontline team of the year
Clinical unsung hero
Non-clinical unsung hero
I would like to nominate:*
Job title:*
Where they work (department name and site)*
What has the person or team you are nominating done to deserve a Recognising Success award?*
What particular challenges have they overcome?
What are the positive outcomes or achievements of the person or team you are nominating?*
Please tell us anything else that you feel could support this nomination
Your name:*
                            
                            
                                                    
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Email:*
                            
                        
Phone: