The Sunshine Award Nomination Form
1. Name of the person you are nominating:
2. Unit where this person works (if known):
3. Date of nomination:
4. Please describe a specific situation or story that clearly demonstrates how this person made a meaningful difference in your care.
About You
Thank you for taking the time to nominate an ancillary services team member for this award. Please tell us about yourself, so that we may include you in the celebration of this award, should the individual you nominated be chosen.
5. I am a: (Please select all that apply)
Patient
Family/Visitor
RN
MD
Staff
Volunteer
6. Your Name:
7. Your Unit (If Applicable):
8. Do you wish to be contacted if the person you nominated is chosen as a Sunshine Award Honoree so that you may attend the celebration, if available?
Yes
No
Leave this field blank