Please ensure you read the criteria for each award before you complete your nomination. A separate nomination form must be completed for each award you wish to nominate someone against.

About your nominee

Nominees full name*

Nominees ward or department

Nominees main work site

BridlingtonCommunityMaltonScarboroughSelbyYork

Nominees care group

Care Group 1Care Group 2Care Group 3Care Group 4Care Group 5Care Group 6

Which award are you making a nomination for?*

New registrant preceptee awardInternational nursing recruit awardNurse preceptor award

In no more than 400 words, please provide specific examples to reflect how the nominee has demonstrated or demonstrates any, or all, of the award criteria

About you

Your name

Your role

Your email address*

Consent of nomination

Nominations are automatically published both in internal publications and on social media, this would include the nominees details, your name and a synopsis of your nomination.

I give my consent as indicated above*

YesNo

From time to time, we may come across external awards which we feel your nomination is suitable for. Generally, these awards require a little more information than what you have provided above. We may contact you with the external award details and ask that you consider submitting a nomination in one of the categories.

I give my consent to the above*

YesNo

And finally

Please check that you have completed all of the required fields then click on submit.