Nursing Compassionate Leadership Award nomination form
 
This award recognises a leader who creates a culture of feeling valued, respected and understood; demonstrating inclusive values and behaviours and is empathetic. This leader encourages people to flourish by allowing the time and resources for new ideas and promoting a non-threatening, non-hierarchical, listening environment.

1. Nominee's name (the one you are putting forward for the award): *

 

2. Job title and base location of the nominee: *

 

3. Contact phone number(s) of the nominee (mobile preferred otherwise, landline): *

 

4. Email address of the nominee: *

 

5. Your name: *

 

6. Your contact number (mobile preferred, otherwise, landline): *

 

7. Your email address: *

 

8. In more detail, describe why this individual should win the Nursing Compassionate Leadership Award (400 words max):

Prompts:
1. Provide specific examples of how this person goes above and beyond the daily tasks required for their role.
2. Who do they impact? Does their behaviour have a positive influence on the team and/or the wider organisation?
3. Why is this person deserving of this award? *

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