LSUHSC Department of CPS Employee of the Quarter Nomination Form

Name of the person you are Nominating

General Requirements for Nominations:

- 1 year experience at LSUHSC Department of Cardiopulmonary Services.
- Not on Management Staff.
- Excels in patient outcome.
- Good attendance record.
- Contributes to the profession as a whole.
- Can be any Cardiopulmonary services employee.

Nominator Name (optional)

Why do you feel this person should be nominated for employee of the quarter?