UCSF School of Medicine - Great People

Award Nomination Form

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

Nominator Name: *
Work Phone:
Campus Box:
Relationship to Nominee:

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

Nominee Name: *
Payroll Title:
Work Phone: *
Work Location: *
Campus Box:

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.