The annual staff achievement awards aim to recognise individuals, teams and services who have made an exceptional contribution to the trust and an outstanding difference to the care and wellbeing of our patients, their carers or our staff during 2016.

If you would like to nominate a member of staff or team for an Oscar award please complete this form.

Please note that the award entry will be judged on the information you provide and how it matches the criteria for that category.

*Compulsory fields
Section 1 - What are your details?

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* 1. Your name:

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* 2. Your job title (if Royal Free London member of staff):

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* 3. Your department (if Royal Free London member of staff):

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* 4. Your email address:

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* 5. Your telephone number:

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* 6. Your relationship to nominee(s):

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