Nomination Form: Robert L. “Bobby Rearden, Jr. Spirit of Winship Award
Deadline to Submit: May 10, 2019
Questions? Contact Keema Mealing at keema.mealing@emory.edu or (404) 778-6414.
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Nominee Information
Name *
(Last, First, M.I.)
Email *
Department *
Work Address *
Role/Function *
Nomination Category (select one) *
Required
Supervisor's Name/Title *
Nominator Information
Name *
(Last, First, M.I.)
Email *
Department *
Work Address *
Phone *
Please describe in 300 words or less:
(1) The specific contribution(s) the nominee has made by demonstrating one or both of the following: (a) Exemplary behavior which supports Winship’s values: Compassion, Caring, Courage, Hope, Imagination, Translation, Discovery; (b) Exemplary service and teamwork toward patients and colleagues

(2) The specific outcome of the contribution(s) above on the department or university.
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