Staff Award for Outstanding Contribution

NOMINATION FORM

Your Details

Your name

Your email

Your Number

Your Nominee

Their name

Which department do they work in?

Tell us about your nominee and why they deserve to win the Robert Clegg Award for Outstanding Contribution

Please give SPECIFIC examples, avoiding identifying words wherever possible

Please give examples of how this individual’s contribution makes a difference beyond their day-to-day role in achieving the Hospice’s values:

Please give examples of how this individual is a respected role model

Please give examples of what this individual does that others don’t in going the extra mile: