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Public Recognition Awards nomination form
Nominee details
*
1.
Is it a person or team that you would like to nominate?
(Required.)
A team (a ward or department)
An individual
*
2.
What is the name of the person/ward/department you would like to nominate?
(Required.)
3.
What is their job title? (if individual)
*
4.
Which organisation do they work for?
(Required.)
SaTH
ShropCom
Both
Other (please specify)
*
5.
Where do they work?
(Required.)
Royal Shrewsbury Hospital
Princess Royal Hospital
Other (please specify)
6.
Please describe in max. 300 words why you think they deserve this award. Please give examples, testimonials and if you have videos or images these can be emailed to sath.awards@nhs.net clearly stating who you are nominating and for which category. Make your entry punchy and relatable to the award description
*
7.
In order to progress the nomination, please consent we are able to share the details above.
(Required.)
Yes
No
Please fill in your details
*
8.
Your name
(Required.)
*
9.
Your email address
(Required.)
*
10.
Please tick here to consent for your name to be shared with the individual or team that you are nominating.
(Required.)
Yes
No
Please note, we reserve the right to transfer nominations between categories should we feel they are better suited to a different award and its criteria.
