Employee Forum: Nominate your Employee Rep Please tell the person you are nominating so that they are aware and so that they can tell their line manager. It's important line managers are aware before this form is completed. Any questions, please contact Naomi Stone (naomi.stone@stmonicatrust.org.uk) Question Title * 1. Who are your nominating? Myself Someone else Question Title * 2. Nominee's full name Question Title * 3. Nominee's department Nursing (incl. RSA etc. roles) Dom care Village Catering Village Housekeeping and Laundry Facilities (porters, maintenance, gardens) Office/desk based Question Title * 4. Nominee's typical shift pattern Days Nights Mix of days and nights Mix of weekend days and nights Question Title * 5. Which site does your nominee work on? Cote Lane Head Office/Somerdale Pavilion Westbury Fields Monica Wills House The Chocolate Quarter Sandford Station Question Title * 6. Your name (if nominating someone else) Thanks for completing this form. Remember to click done/submit. We'll be in touch! Done