FOCUS Spotlight Award

FOCUS Spotlight Award Nomination Form

The FOCUS Spotlight Award recognizes and rewards team members who provide exceptional care and service by living the FOCUS Values of fostering unity, owning the moment, championing excellence and seizing opportunities.

Please use the form below to nominate a Trinity employee who you feel made an impactful and meaningful difference in your Trinity visit or experience.

Nominee Name * Nominee Location (Hospital/Department) *

Please select the FOCUS Value demonstrated by your nominee (Select All that Apply) * Foster Unity Own the Moment Champions Excellence Seize Opportunities

Please describe, in detail, the situation or action that your nominee took that exemplified the UnityPoint Health FOCUS Values. Please be sure to explain the impact their behavior/action had and its outcome. * Please choose the option that best describes your relationship to your nominee * Your Name * Phone number or email to contact you, if required *

Do you authorize UnityPoint Health – Trinity to share your story, including the protected health information you shared on this form? * Yes No

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