The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

Axon Award Nomination Form

Returning?

A A A

Please use form below to submit nomination for the Department of Neurology's Axon Award. This award is voted on by the Employee Recognition Committee and is given quarterly to a member of faculty, member of research, and member of administration team.

Please note, previous winners are not eligible to win again for a time period of one year. Previous winners for 2021 include:

Clinician Excellence (in alphabetical order by last name): Lealani Mae Acosta, Kelly Brown, Angela Crudele, Karl Misulis, Fenna Phibbs, Randy Taneja
Administrative/Research Excellence (in alphabetical order by last name): Drew Anderson, Mark Dempsey, Kelly Harper, Katherine Jordan, Pam Luttermoser, Jamie McAdams, Chelsea Mundy, Mitchell Wood

Today's Date

Y-M-D

Name of Nominee (person you are nominating)

Name of Nominator (your name)

With respect to your roles, the nominee is your:

* must provide value

supervisee

peer

colleague

supervisor

reset

Which credo behavior does this team member best reflect?
Mark all that apply.

* must provide value

I make those I serve my highest priority

I respect privacy and confidentiality

I communicate effectively

I conduct myself professionally

I have a sense of ownership

I am committed to my colleagues

Which pillar goal does the team member best support?
Mark all that apply.

* must provide value

People - We nurture a caring, culturally sensitive, and professional atmosphere as we continuously invest in the well-being and aspirations of our people.

Service - Collegiality is a central characteristic of our culture and defines how we serve our patients, those we teach, and the local and worldwide community.

Quality - We relentlessly pursue and measure ourselves against the highest quality performance in all areas, from patient care to scholarship.

Growth & Finance - We invest our resources in a manner that supports our long-term obligation to society; to achieve local, national and worldwide impact in improving health.

Innovation - We seek excellence and leadership as we advance our systems of care, educational practices and our commitment to discovery.

Why are you nominating this team member? Be sure to include specific examples/description of their achievements or contributions

* must provide value

Expand

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.