Excellence Awards 2023 Team/service entry

Your name*

The name of the person completing this form
Your email address*
Your telephone number*
Which care group does your entry come from?*
Where is the team or service based?*
Choose the category you are entering*
What is the name of the team or service being entered for the award?*

This is what will be written on any certificate or trophy
Your application
Please note the character limit for each section
What is the name of your entry?*

This is what will be written on any certificate or trophy
1. Please give a summary of the project/initiative that you are nominating*
(approx. 150 words)
2. Why are you entering this work into this category?*
(approx. 150 words)
3. What were the outcomes of this work?*
(approx. 150 words)
Please provide a quotation about the work, to a maximum of 250 characters (approx. 50 words)*
The quote should be in support of the project, work or team and it can be from a colleague, manager, partner organisation, GP, service user, carer or anyone else you feel is appropriate. This quote will be seen by the judges as well as being used in any publicity materials.
Name of person providing the quote*
Their job title or position*

(for example, service manager, GP, service user, carer)
If the person being quoted is a service user or carer, are they happy for their full name to be used in any publicity materials?
- Yes
- No
Phone
This field is for validation purposes and should be left unchanged.

Page last updated on: 30^th November 2022