Please be aware that the survey must be filled out completely for the nomination to be submitted.

Employee of the Year
Recognize your facility's dedicated, valuable employees: nursing staff, activities, social services, dietary, environmental services, administrative staff, etc. Each facility can submit one (1) nomination per category for judging. Please fill out every question. Remember to hit "next" at the bottom of each page to proceed and then hit "done" at the end of the survey to submit your nomination.

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* 1. Name of Nominee

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* 2. Job Title

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* 3. Length of time employed at facility

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* 4. Facility Name and City

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* 5. Contact information for person submitting nomination. (Name, Title, Phone, Email)

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