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UHNM A Night Full of Stars - Staff awards
Nomination Form
Nomination Form
Consent for storing submitted data
Yes, I give permission to store and process my data
Your full name
Job title
Your email address
Name of the team or individual you are nominating
Which ward or department do they work in?
Which value has the nominee demonstrated?
Together
Improving
Safe
Compassion
Nomminee's email address
Where are they based?
Royal Stoke
County Hospital
Other
Please specify which site
What award category are you nominating them for ?
Clinical team of the year
Non-clinical team of the year
Volunteer of the year
Rising star - non-clinical
Rising star - clinical
Rising star - apprentice
Leadership impact award
Service improvement award
Being kind and compassionate award
Reason for this nomination
Include how they demonstrated the Trust values and how they meet the criteria of the chosen category. Please give as much detail as you can within the word limit. (5000 characters maximum)
