Helping Hands Nomination

LECOM Health MCH Helping 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 helping hand?(Required)

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

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

Explain how this person added to the success of Millcreek Community Hospital.

Do you have any additional comments?

(Optional)

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