Helping Hands Nomination

LECOM Health Healing Hands

Nomination Form

I am pleased to nominate:(Required)

First and last name of nominee

Job title:(Required)

What is the nominee's job at LECOM Health?

Department:(Required)

For what department does the nominee work?

Nominated by:(Required)

What is your name?

Your email:(Required)

Please provide your email address so we can contact you if we have any questions about your nomination.

How does the nominee lend a healing hand?(Required)

Describe and give specific examples of how this person demonstrates lending a healing hand.

How did this person add to our success?(Required)

Explain how this person added to the success of LECOM Medical Center and Behavioral Health Pavilion.

Do you have any additional comments?

(Optional)

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