WellDOM Recognition Form

Recipient Recognition

Recipient's Name*
Please ensure accuracy of email prior to submitting

Recognition Message

Within your recognition message, explain why you would like to personally recognize this individual for their notable efforts. This can include, but is certainly not limited to:

  • Why they and their work are valued by you and your team
  • How they have gone above and beyond
  • Their dedication to their own and others' well-being
Provide a minimum of 50 characters

Submitter Information

Would you like your submission to remain anonymous to the recipient?
Name*
Do you give consent for your recognition to be posted on the Department of Medicine WellDOM Webpage?*

Thank you for submitting a recognition message for one of our outstanding employees in the Department of Medicine! 

Your message will be included in a Department branded template and sent on your behalf to the recipient by 3pm on Friday. As requested, the recipient will not be informed who submitted the recognition. The email will come from one of the Department's Wellness Champions, Elle Herner, who can also be contacted with any additional questions on this process. 

We appreciate your time and hope you consider recognizing someone again in the near future. Thank you!

Thank you for submitting a recognition message for one of our outstanding employees in the Department of Medicine! 

Your message will be included in a Department branded template and sent on your behalf to the recipient by 3pm on Friday. As requested, the recipient will not be informed who submitted the recognition. The email will come from one of the Department's Wellness Champions, Elle Herner, who can also be contacted with any additional questions on this process. 

We appreciate your time and hope you consider recognizing someone again in the near future. Thank you!

Thank you for submitting a recognition message for one of our outstanding employees in the Department of Medicine! 

Your message will be included in a Department branded template and sent on your behalf to the recipient and yourself by 3pm on Friday. The email will come from one of the Department's Wellness Champions, Elle Herner, who can also be contacted with any additional questions on this process. 

We appreciate your time and hope you consider recognizing someone again in the near future. Thank you!

Thank you for submitting a recognition message for one of our outstanding employees in the Department of Medicine! 

Your message will be included in a Department branded template and sent on your behalf to the recipient and yourself by 3pm on Friday. The email will come from one of the Department's Wellness Champions, Elle Herner, who can also be contacted with any additional questions on this process. 

We appreciate your time and hope you consider recognizing someone again in the near future. Thank you!

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