If you are experiencing flu-like or COVID-19 symptoms, call us at 503-814-0099 before visiting any of our locations. Learn more.

Trillium Award Logo

Trillium Award Nomination

Thank you for taking a few moments to nominate a deserving Certified Nursing Assistant for the Trillium Award.

Salem Health Values

Excellence | Caring | Integrity | Accountability | Teamwork

 

Trillium Nomination Form


Nominee Information


Nominee First Name
*
Nominee Last Name
*
Where did you encounter the nominee? (Department, unit, hospital area, etc.)
*
Your nominee must excel in three qualities to be considered for the award: Compassionate Care, Exemplary Service and Continued Commitment to Excellence. In each of the sections below, please briefly describe examples of why your nominee deserves the Trillium Award.
Compassionate Care
*
Exemplary Service
*
Continued Commitment
*

Your Information


Your Name
*
Your Phone
*
Your Email
*

Which best describes you ?
Patient
Visitor
Employee
Physician
Other

If Other, please explain
*