Nomination Form

Nomination Form

2024 Kaweah Health Employee of the Year
We want to celebrate the unsung Kaweah Health heroes who work among us each and every day. Please tell us why the employee you are nominating should be recognized and why you believe they are a "hero" at Kaweah Health and in the community. Please complete the questionnaire below by describing the areas where this employee excels and providing specific examples in the comment sections.
PLEASE READ BEFORE BEGINNING APPLICATION:

● Applications takes approximately 15-20 minutes to complete.
● Applications must include specific examples and be completed in full. REMEMBER: This application will be used to determine whether or not your nominee will be considered for the Employee of the Year award. Providing specific details and examples for the committee to review is important.

EXAMPLES:

● Demonstrates significant organizational leadership skills

Chelsey RN recognized an increased trend in surgical site infections on her unit. Through the introduction of forced warming units to promote normothermia and CHG pre-operative skin cleansing their rates of SSIs on her unit were reduced dramatically. She used her resources and spearheaded this important practice change.

● Demonstrates community service by mentoring with the Visalia Unified School District Linked Learning Program.

Sits on the council for Linked Learning and mentors students in the program for the 100 hour summer mentor program. Participates on the board level, contributing to the mentor education of students in their particular field of expertise.

● Applications with empty fields will not be considered.

NOMINEE CRITERIA:
- Must be a Kaweah Health employee in good standing
- Must have five or more years of employment with Kaweah Delta
- Directors are not eligible for nomination.
THIS APPLICATION WAS SUBMITTED BY:
Name*

First NameLast Name
Department: (mandatory)*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
NAME OF THE EMPLOYEE YOU ARE NOMINATING:
Name*

First NameLast Name
Manager: (mandatory)*
Department: (mandatory)*
Years at Kaweah Health, if known: (optional)
YesNoUnknown
WHY THIS EMPLOYEE INSPIRES YOU

Please write about why this employee inspired you to nominate them for the Employee of the Year award. Please describe the reasons why you are personally honored to work with this person and what sets them apart from others.
Inspiration*

0/0
KAWEAH CARE

Provide outstanding care/service at a consistently high level in working with and communicating with customers
Outstanding care/service*

0/0
Advocate for improvements that enhance customer experience*

0/0
Eliminates barriers for customers (patient/family/coworkers/etc.)*

0/0
Serve as a role model through selfless service to others*

0/0
Suggest and/or implement new ideas that increase quality or enhance customer experience*

0/0
LEADERSHIP

An employee who models, exemplifies, and promotes outstanding leadership qualities and behaviors. Please write about the areas this person excels in exhibiting LEADERSHIP. Please summarize why you feel this person truly goes above and beyond in this category.
Leadership*

0/0
PROFESSIONAL ACHIEVEMENT

In regard to their professional expertise, please list their professional achievements. Please write about the areas this person excels in exhibiting PROFESSIONAL ACHIEVEMENT. Please summarize their accomplishments.EXAMPLES: Presenter/speaker at conference, advanced practice degree, professional certification not required by current job, organizational memberships or affiliations, nominated to receive a community award or recognition, and/or serves on a community board.
Professional Achievements:*

0/0
COMMUNITY ENGAGEMENT

An employee who goes above and beyond the duties and responsibilities of his or her position to take action outside of work hours in a philanthropic way in the community.Please write about the areas this person excels in exhibiting COMMUNITY ENGAGEMENT. Please list any philanthropic service organizations this employee belongs to and any recognition they have received for their community participation. EXAMPLES: Volunteers their time, resources, and talents to non-profits, supports family and friends in extraordinary ways, serves on community organization boards, coaches local sports teams, and/or mentors at-risk youth.
Community Engagement:*

0/0
Should be Empty:

THIS APPLICATION WAS SUBMITTED BY:

NAME OF THE EMPLOYEE YOU ARE NOMINATING:

WHY THIS EMPLOYEE INSPIRES YOU

KAWEAH CARE

LEADERSHIP

PROFESSIONAL ACHIEVEMENT

COMMUNITY ENGAGEMENT