The Ellis Greenspan Memorial Award Nomination Form

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  • Basic Nominee Information

  • Your Information

    This section refers to the person making the nomination
  • Nominee's Personal & Professional Criteria

    Please complete the following section by providing examples of how the nominee meets the following criteria. You do not need to give examples for every criterion.
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  • (Minimum of 3 sentences)
  • (Minimum of 3 sentences)
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  • (Minimum of 3 sentences)
  • Supporting Documents

  • Please mail any documents that you believe demonstrate how the nominee meets the award criteria. These could include letters and emails from patients, patient family members, physicians, colleagues and performance certificates. When mailing in these supporting documents, please submit the following information with them:
    • Your name, address, and phone number on the documents
    • The name of the person you have nominated
    Mail these supporting documents to: Dawn Gorman, Nursing Administration, Grand View Hospital, 700 Lawn Avenue, Sellersville PA 18960.
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