Nomination Form

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Nomination Form

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Nominations must be received by June 14, 2024

Who is nominating

Name:(Required)

Email:(Required)

Phone:(Required)

Information for your nominee:

Name:(Required)

Occupation/Employer:(Required)

City of Residence:(Required)

Contact Email

How do you know the nominee:

Describe your background or history with the nominee:

What characteristics, traits or actions make this person a great candidate for the Lem Griffin Award?

What single action or effort is the best example of their Service mindset?

How do they regularly demonstrate any of the key pillars (Generosity, Resourcefulness, Vision, Selflessness, Caring, and Concern) of the Lem Griffin Award?

How have the nominee's actions impacted the community? What results have they generated?

Phoebe Services

Patients & Visitors

Phoebe Services

Patients & Visitors

Who is nominating

Information for your nominee:

How do you know the nominee: