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UMHS Volunteer Recognition Form

UMHS Volunteer Recognition Committee Guidelines in Selecting Distinguished Service Awardees

Goal

To ensure decisions are fair, unbiased and based solely on the nomination information.

Who is eligible?

Any individual student, community group or volunteer placement supervisor whose activities have a positive impact on patients, families and the health system in a substantial, important or unique way. It is recommended that they have performed their current function for at least 100 hours.

Who is not eligible?

Previous winners or persons nominating themselves, spouses or family members.

Additional Guidelines

UMHS Volunteer Recognition Committee Distinguished Service Award Nomination Form

Award Selection

Nominations will be evaluated by the multi-disciplinary Volunteer Recognition Committee. Committee decisions are final.

Award Announcement

Award announcements will be posted in the Bulletin, at least two weeks before the Volunteer Recognition Event.

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Nominee Category:

Individual Student Volunteer (currently registered high school or college student)

Individual Community Volunteer (currently registered non-student community member)

Volunteer Group or Organization (exhibits commitment to the health system through service)

Volunteer Placement Supervisor (a UMHS staff person who provides a placement setting, mentorship, supervision and support for the volunteers in his/her program, department or area)

Nominator:

Phone:

Work Address:

E-mail:

Name of Nominee: (If a group nomination, please include a contact person with information)

Title or position of nominee:

Location of placement:

How long has the nominee worked in your area:

Specific duties of the nominee:

What special qualities does the nominee have that makes them outstanding?

Please share examples and stories of how this nominee’s service demonstrates the UMHS principles of “Patients and Families First” (by direct interaction or indirect support such as clerical or other support services).

Please share an example of how this volunteer, group, or UMHS staff person has maintained consistent customer service.

Pertinent additional information: