Liverpool John Moores University            School of Nursing and Allied Health             Best Placement/Best Individual Mentor Nomination Form 2020
Each year we offer students from the School of Nursing and Allied Health the opportunity to recognise, through our Student Award event, the exceptional support they've received from placement providers.

Nominations in these two categories can only be made by students and must be supported by a statement evidencing how the award criteria have been met. All nominations will be reviewed by a dedicated awards panel.

If you've received exceptional support from a placement area, team or individual which has gone above and beyond to provide an outstanding learning experience, please nominate them for an award by completing this form.
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Your name *
Email address
Which course are you currently studying on? *
Which award are you nominating for? *
Please select from the drop-down list below.
Name of the placement area, team or individual (full name) you are nominating *
Additional information *
Please provide additional information to help us to correctly identify and  contact your nominee(s), such as the organisation they work for, ward or team name, Manager's name, placement address, work email or work telephone numbers.
Why are you nominating them? *
Please submit a summary of how you feel this area/team/individual met the criteria for this award category. To review the category criteria please visit this web page. - https://www.ljmu.ac.uk/about-us/faculties/faculty-of-health/school-of-nursing-and-allied-health/student-awards
Are you willing to be contacted by the Awards Panel if they require further information? *
Nominees often request details of their nomination; who made it and/or what were the reasons for nominating them in that category.  All nominations are made in confidence, however if you are happy for either of these pieces of information to be shared on request* then please indicate below. *
*Only the person(s) named on the nomination may request or be given this information.
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