Values-Based Recognition

Open to

All employees, teams and volunteers

Criteria

We recognise and celebrate those who have gone above and beyond to exemplify our Regis Values:

Recognition form

* indicates a required field.

I would like to recognise:

Please ensure this person’s name is spelt correctly
Full name*
First name Last name
What is their position?*
Other position:
Which Home or site are they located at?*
Their Home or site (other):
My details are
My full name:*
First name Last name
My Regis Home or site:*
My Home or site (other):
I am a:*
Would you like your recognition to be anonymous?*
- Yes, I'd like to remain anonymous (a copy of what I submit will be shared with the person, but they won't be told who submitted it)
- No, I'm happy for them to know (my name and submission can be shared with the person)
Submission
How does this person show optimism, passion, integrity and respect?*
Optional supporting attachments

Please note: if you have more than one attachment you need to upload them separately. Each file has a maximum size of 5MB.
Attachment 1
Max. file size: 5 MB.
Attachment 2
Max. file size: 5 MB.
Attachment 3
Max. file size: 5 MB.
Attachment 4
Max. file size: 5 MB.
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