UCSF School of Medicine - Great People


Award Nomination Form

Please use the button below to find your name and contact details.

Nominator Name: *
Department/ORU:
Work Phone:
Campus Box:
Email:
Relationship to Nominee:



Please use the button below to find the nominee's name and contact details.

 
Nominee Name: *
Department/ORU:
Payroll Title:
Work Phone: *
Work Location: *
Campus Box:
Email:





Why should this employee receive the Great People Award? *
Please briefly describe how the individual meets one or more
of the selection criteria. Be sure to give examples. You can
type directly into the space provided below or create a
separate text document and cut and paste it into the space.



* Denotes required fields.