Sunflower Award Nomination Form

The Sunflower Award recognizes and celebrates the extraordinary compassionate and skillful care given by staff other than our physicians and nurses. In the space below please detail your reason for nomination. Describe a specific situation when the nominee demonstrated exemplary clinical skill and compassionate care in accordance with Sunflower Award principles.

If you have additional questions, contact Capital Health Nursing Administration (Capital Health Medical Center - Hopewell: 609-303-4150, Capital Health Regional Medical Center: 609-394-6033).

Nominee First Name

Nominee Last Name

Campus

Department/Unit

Nomination Information

Your First Name

Your Last Name

Contact Phone Number

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Sunflower Award Nomination Form

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