WRHA Quarterly Service Excellence Award Nomination Form

Please fill out the form below with your nomination details.

Recognizing Excellence, Inspiring Service – The WRHA Quarterly Service Excellence Award celebrates staff members who go above and beyond in delivering outstanding care, teamwork, and innovation across our facilities. This award is open to all staff members irrespective of role or level.

All nominees must demonstrate excellence across all five (5) service pillars: Customer‑Centric Service, Performance Excellence, Collaboration & Engagement, Innovation & Responsiveness, and Integrity & Accountability.

Facility *Please choose the nominee’s facility name

Nominee Name *Please enter the name of your Nominee

Position/Role *Please enter the position or role of your Nominee

Department/Unit *

Nominator Name *Please enter your name

Date of Nomination *

Relationship to Nominee *What is your relationship to your nominee?PeerSupervisorUnit HeadOther

Nominee's Contributions *Please describe the specific actions, behaviours, or initiatives that demonstrate excellence. Provide examples and evidence where possible.

Evidence/Supporting Documentation *Attach or reference supporting materials: customer commendations, performance reports, peer testimonials, innovation submissions, etc.

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The information provided on this form will be used solely for the purpose of administering and evaluating nominations for the Quarterly Service Excellence Award. This processing is carried out on the basis of the organization’s legitimate interest in recognizing and promoting staff excellence. Information will be accessed only by authorized personnel involved in the selection process.

All personal data will be handled in accordance with the Data Protection Act and retained only for as long as necessary to support the award process, after which it will be securely disposed of.