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Star Performer Nomination



Star Performer Nomination Form

Did you receive special care or treatment from someone that works at Phelps Memorial Health Center? Do you feel that there is someone that should have special recognition? You can submit a nomination for this person for Star Performer.  Each month a special committee selects "Star Performers" from the nominations.

To nominate someone for "Star Performer" please fill out the form below and submit it.

Click for Printer version of "Star Performer" form. You can print the form and submit at greeter's desk (east lobby) or place in "Star Performer" box at east lobby.


* Required Fields:
* Your Name: 

* Employee Name: 


* Why I think this person is a "Star Performer": (give detailed explanation)

E-mail address: 

 


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