BEE Award

What is the BEE Award?

Just as the Daisy cannot survive without help from the Bee, the nurses cannot survive without the outstanding interdisciplinary teamwork they receive from support staff. The BEE (Be Exceptional Every day) Award is to recognize our Patient Care Tech’s (PCT) who deliver quality, compassionate care to our patients. The BEE award recognizes colleagues of Memorial Health Meadows Hospital. The award is for a PCT that exemplifies dedication to being exceptional every day!

Nominate an exceptional PCT as a deserving recipient of The BEE Award. She/he consistently meets all of the following criteria:

• Goes above and beyond to care for the needs of the patient and family
• Has a positive attitude and compassionate and caring in all situations
• Takes time to educate and include the patient and family during the care process

All fields with an asterisk (*) are required.

Thank You

The form was submitted successfully.

Please fill in a valid value for all required fields

Please ensure all values are in a proper format.

Are you sure you want to leave this form and resume later?

Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.

Save and Resume Later

Save and get link

You must upload one of the following file types for the selected field:

There was an error displaying the form. Please copy and paste the embed code again.

Apply Discount

You saved

with code

Submit Form

Submitting

Validating

There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.

Please check the field:

Fields

The BEE Award nomination form

The caregiver you are nominating*

First Name*

Last Name*

Caregiver's department*

Please share your story that demonstrates how this caregiver made a meaningful difference.*

Thank you for taking the time to nominate an extraordinary, compassionate caregiver for this award. Please tell us about yourself, so we can include you in the celebration of this award, if the caregiver you nominated is chosen.

Please tell us about yourself

Your name*

First Name*

Last Name*

I am:* (select one) Patient Family/Visitor MD Nurse Staff Volunteer

Date

https://www.formstack.com/forms/images/2/calendar.png

Month

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Day

01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Year

2019 2020 2021 2022 2023 2024

How do we reach you?

Phone

Email

Previous← Next→

Enter your save and resume password

Cancel

Confirm