Getting to Know Nomination Form
Do you know of a high-performing manager or physician who has an interesting role? Help us highlight and recognize them in our Getting to Know series.
Please nominate one individual per form. There is no limit to the number of nominations you can submit.
Those who are selected will be featured on Inside Carilion, in the ePulse and potentially other channels as appropriate, such as our Carilion@Work Facebook page.
We appreciate your thoughtful nomination! Please fill out the form below to nominate a manager or physician to be featured.
Fields
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Your name
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On
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Your department
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Your email
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Custom content
Fill out the fields below to provide information about the person you are nominating.
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Nominee's name
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Nominee's title
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Please provide a brief description of the role/responsibilities performed by this individual.
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Why are you nominating this individual?
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Maintainers
lemitchell
Confirmation Message
Thank you! Your nomination form has been received.
Submission Limit
0
Allow multiple submissions
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Featured
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Unlisted
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