Gardener Form | Memorial Hospital and Health Care Center

Personal Information

* Indicates Required Field
I would like to nominate
Name*

Please enter the recipient's name.
Department*

Please enter the recipient's department.
as a deserving recipient of The GARDENER Award.
This individual exemplifies the kind of person who is recognized by Memorial Hospital nurses, physicians, and staff as an outstanding role model in the way he/she supports and facilitates excellent patient care by supporting and supplementing those who provide that care. This individual exhibits the following highly valued qualities and attributes with every interaction, every day.
- Always has a positive attitude and demonstrates professionalism
- Makes a positive impact on the care of every patient and his/her family by offering support to the caregivers and providing a timely response to their needs in a respectful and compassionate manner
- Always works well with all members of the health care team
- Exemplifies the Mission and Values of Memorial Hospital and Health Care Center and always put the patient first as he/she lives our Mission to “Be for Others”
- Is a colleague in good standing
Please describe a specific story or situation involving the employee you are nominating that clearly demonstrates how he/she meets the criteria for The GARDENER Award:*

Please enter a story about the nominee.
Thank you for taking the time to nominate an extraordinary employee for this award. Please tell us about yourself, so that we may include you in the celebration of this award should the employee you nominated be chosen.
Your Name*

Please enter the Nominator's name.
Department*

Please enter the Nominators department.
Email*

This isn't a valid email address.

Please enter your email address.
Phone*

This isn't a valid phone number.

Please enter your phone number.

You entered an invalid number.
The GARDENER Award honorees will be chosen quarterly. If you have any questions, please contact Human Resources at (812) 996-6267.