Nomination Form

The Nomination

You can nominate an individual or a team for any of the 7 values based awards, or the bank worker award, which are recognised every month (an overall award in each of these 8 categories will be presented annually). See here for further details of the award categories.
The deadline for the monthly award nominations is 15th of each month.

Alternatively, each year you can nominate an individual or team for one of five additional awards which will be presented annually only.

The annual nominations are now OPEN. The closing date for additional annual award nominations is 15th July 2017. The annual awards ceremony will take place on 13th September 2017.

Please select either a monthly award category or an annual award category from the list below.

Monthly Award Categories:

Annual Award Categories:

Please describe why this person/team deserves this award in the three boxes below.
All nominations will be judged against a set of three criteria. Please demonstrate how they meet each of the criteria for your chosen category using your own words and giving examples.
Are you? *

This form will be submitted to the Dorset HealthCare Heroes team who will contact you to confirm receipt of your nomination.

Next - award categories Dorset HealthCare Heroes