* = required

Name*

Department*

Shift

Minimum Nomination criteria to be confirmed by HR and the Nominees Dept Head

Employee has successfully completed introductory period

Employee has had no disciplinary actions in the last 3 months

Adheres to Trinitas Regional Medical Center's Customer Service Excellence Standards

A minimum of 3 must be completed with specific examples

Does more than is expected

Represents Trinitas Regional Medical Center positively

Is an inspiration to others

Patients/Families/Customers come first

Is a team player

Looks for ways to serve and help others

Name of nominator*

Department*

Extension*

Email Address*