Patient award nomination

Thank you for taking the time to submit your patient award nomination for the CLCH Staff Awards 2019. 
Please ensure your answers are only 500 words maximum. If they exceed the word limit, in the spirit of fairness, we will take off any words that go over the word limit and this may affect how your nomination reads. 

We recommend that you draft your answers in Microsoft Word, check the word count and then copy and paste your nomination into the response box here. 

Please ensure your nomination specifically links to the award criteria below.
"The patient award recognises an individual/team who has made the biggest difference to patients." 

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* 1. Your name

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* 2. Your email address

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* 3. The team or individual you are nominating (full name)

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* 4. Your nomination (500 words or less)

Thank you for taking the time to submit your nomination. 

REMEMBER - you can submit as many nominations as you like. Simply complete a new form per nominee. 

*Please note that by submitting this form to us, you are consenting to us contacting you if your nominee wins and we want you to present the award. 
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