Nominate a volunteer for volunteer of the month

We have introduced a new set of Values and Behaviours within the Trust and we are particularly keen to reward staff who demonstrate them. Please select the particular value and behaviour from the drop down box before providing you explanation for the nomination.

Volunteer of the month

Thank you for nominating someone for volunteer of the month award

Please fill in all of the details below as best you can

What is their name? *

Which hospital do they work in? *

Aintree University Hospital
Broadgreen Hospital
Liverpool University Dental Hospital
Royal Liverpool University Hospital

Where do they work? *

Why are you nominating them for an award? *

About you

Are you a member of staff, or a patient, family member or member of the general public? *

Member of staff
Patient, family member or member of the general public

What is your name? *

Your address *

Your telephone number *

Your email address *