Nomination Form for Inspiration

Accepting Nominations March 3 - April 4, 2025

Recognizing acts of inspiration and community impact from our teams across the ministry, whether in direct patient care or behind the scenes. Submit your nomination for the Inspiration award below.
You must submit for this nomination to be considered.

Please email PEVisionAwards@CommonSpirit.org if you do not want your nomination shared as part of our recognition and celebration of excellence across the ministry.

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CommonSpirit ID

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Simplified Employee Category

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Simplified Employee Category

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Simplified Employee Category

Your Information:

* indicates required fields.

to see how we may share your nomination.

If you would like to save and continue the nomination later, please click the 'Save and Continue Later' button at the bottom of the form.
This will display a page with the link to use to continue your submission.
Enter your email address and click 'Send Link' to have the link sent to you in an email.
Without this link it is not possible to resume your submission.

Your Name*

Your email address*

Your Position Title*

Your state*

Your Nominee:

Nominee Position (select from dropdown)*

Upload a List of email address for the team/department:*

Accepted file types: txt, pdf, xls, doc, docx, Max. file size: 50 MB.

Nominee Name (Search Nominee Formal Last Name)*

Nominee email address*

Facility Address (if working remotely, enter "remote")*

Facility Name (if working remotely, enter "remote")*

Department

Nominee Region*

Nominee state*

Other state*

How does the nominee meet the criteria for their nominated category?

Nomination story (max: 2,500 characters)*

You must submit for this nomination to be considered.

Comments

This field is for validation purposes and should be left unchanged.