Nominate a Team Member for the TULIP Award

Tell us how a team member other than a nurse made a difference.

Name of the employee you want to recognize:

Location:

Employee’s role and program:

In detail, please share how this employee made a difference in your care or care of someone you care about:

Thank you for taking the time to recognize this special team member. Please share:

Your name:

I am a (select one):

Include your role as co-worker:

Family and community members: please include your relationship to patient if applicable

Email address: we may contact you if your nominee is selected or to discuss use of your submission.

Electronic Signature:

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