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Nomination Form

The DAISY Award is a nationwide program that rewards and celebrates the extraordinary clinical skill and compassionate care delivered by nurses everyday. Trinity Mother Frances is proud to be a DAISY Award Hospital Partner, recognizing one of our nurses with this special honor every month.

DAISY Award honorees personify the mission of Trinity Mother Frances enhance community health through service with compassion, excellence and efficiency. These nurses consistently demonstrate excellence through their clinical expertise and extraordinary compassionate care, and they are recognized as outstanding role models in our nursing community. Please complete our DAISY Award Nomination Form to nominate a nurse you feel provides compassionate and excellent care.

Feel free to fill out the following form to nominate your choice for the DAISY Award. Nominations received by the last day of the month, will be considered for the following month's DAISY Award.

I would like to nominate 
From the Unit/Department 
at 






As a deserving recipient of The DAISY Award. This nurse's clinical skill and especially his/her compassionate care exemplify the kind of nurse that our patients, their families, and our staff recognize as an outstanding role model. 
Please describe a situation involving the nurse you are nominating that clearly demonstrates compassionate caring: 
Thank you for nominating an extraordinary nurse for this award. Please tell us about yourself, so that we may include you in the celebration of this award should the nurse you nominated be chosen. 
Your Name 
Unit 
Phone 
Email 
I am (please check one) 





Date of nomination  (mm/dd/yyyy)