Princess Margaret Hospital

PMH Services

The Gerald Kirsh Humanitarian Awards

Outstanding caregivers may be nominated for the Gerald Kirsh Humanitarian Awards by completing the online form below or downloading the formIcon: Acrobat and mailing it to:

The Gerald Kirsh Humanitarian Awards
c/o The Princess Margaret Hospital Foundation
610 University Avenue
Toronto, ON
M5G 2M9

Deadline for nominations is September 10 for consideration for the November Awards.  Nominations received after the deadline will be considered for the following year.

Image: Top Left
Nominating Your Caregiver
Image: Top Right

Nominee:

First

Last
Nominee's Title:
Nominee's Department:
Your Name:

Address:

City:

Province/State:

Postal Code:

Country:

Your Telephone No:
Area Code
Telephone
Extension

 
Your Email Address:
Relationship to Nominee:
How long knowing nominee?

May we let the nominee know you nominated them and mention your name as one of the nominators at the Kirsh Awards Ceremony? Yes
No
How has the nominee demonstrated Princess Margaret Hospital’s six core values of caring, excellence, teamwork, innovation, leadership and integrity when providing care to the patient and their families?
Why should the nominee receive a Kirsh Humanitarian Award? Please explain using examples other than those stated in the previous field.
   

[back to top]


www.uhn.ca


Terms & Conditions | Privacy Policy | Copyright © 2010
University Health Network 190 Elizabeth Street, Toronto ON M5G 2C4