HIVE Award Nomination Form

At Samaritan, we have volunteers who serve at the hospital, long term care facilities, special events, off-site offices and on various boards of our respective entities. The HIVE (Helpful Indeed-Volunteering Excellence) Award is a way to honor those volunteers who have contributed an extraordinary level of dedication, and shown exceptional service to Samaritan while consistently demonstrating the HEART values, which are Honesty, Empathy, Accountability, Respectful, and Trustworthy.

Nominations are being accepted. If you know of a volunteer who you believe to be an exceptional candidate for the HIVE award, please complete the form below. A committee who will determine the awardees throughout the year will view nomination forms. Patients, staff, volunteers, visitors and community members are welcome and encouraged to nominate a volunteer they feel is deserving of this honor.

HIVE Award Nomination

Name of Volunteer you are nominating:*
First Last
Area of Samaritan they have volunteered in:*
Describe how this volunteer has demonstrated their commitment as a volunteer to Samaritan. Give examples of how they have gone above and beyond to demonstrate volunteering excellence.*
Your name:*
First Last
If you are a Samaritan employee, please indicate your department/unit:
Phone:*
Email:*
Do we have your permission to use your name and story in promotional material?*
- Yes
- No
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About Samaritan Health

HIVE Award Nomination Form

HIVE Award Nomination

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