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EPiC: Encouraging Praise in Colleagues
Please complete this short form to nominate your amazing colleague. Let's make someone EPiC!
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1
Who would you like to nominate?
*
This field is required.
Please type the name of the individual that you would like to make EPiC.
First Name
Last Name
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2
What profession/role does this colleague work as?
Eg. Doctor, Consultant, Nurse, etc.
Please Select
Doctor
Nurse
Physiotherapist
Healthcare Assistant
Support Worker
Porter
Administration
Student
Other (please specify)
Please Select
Please Select
Doctor
Nurse
Physiotherapist
Healthcare Assistant
Support Worker
Porter
Administration
Student
Other (please specify)
Other (please specify)
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3
If applicable, what Band/Grade does this person work at?
Eg. a Band 5 nurse.
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10
3
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10
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4
Which department does this colleague work in?
Eg. Paediatrics, Urology, Urgent Care, etc.
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5
Which site is this individual based at?
*
This field is required.
Where they work the majority of the time.
Buckland Hospital, Dover
Kent and Canterbury Hospital (K&C), Canterbury
Queen Elizabeth The Queen Mother Hospital (QEQM), Margate
Royal Victoria Hospital (RVH), Folkestone
William Harvey Hospital (WHH), Ashford
Other
Buckland Hospital, Dover
Kent and Canterbury Hospital (K&C), Canterbury
Queen Elizabeth The Queen Mother Hospital (QEQM), Margate
Royal Victoria Hospital (RVH), Folkestone
William Harvey Hospital (WHH), Ashford
Other
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6
What is your reason for nominating this person?
Write as much, or as little as you would like!
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