UAB Employee Recognition

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Excellence in Action printable form. Employees are encouraged to utilize the electronic format.


Employee Recognition

Please complete all applicable fields. Give us as much information as possible to help us identify and recognize the employee.
( * Denotes a required field )

Where did your experience take place:*
UAB Highlands
The Kirklin Clinic
Specific Location
(If a patient, please provide room number)
When did your experience take place?*
Employee Name* 
Employee Title
(if known)

Describe your experience *

What Core Value was best represented?
Check all that apply

Own It
Be accountable, Take action, Make it happen

Do Right
Follow through, Work with principles, Do no harm

Always Care
Listen with empathy, Be compassionate, Support those in need

Work Together
Think win-win, Build consensus, Play your role on the team
   
Optional: May we contact you for followup information regarding your experience?
Name:
Phone Number:
   
   
UAB Medicine
UAB Health System

UAB Health System

HON Text Only   © 2008 UAB Health System. Phone 1-800-UAB-8816 All Rights Reserved. Disclaimer.

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