VIP Nomination Values in Practice (VIP) Nomination Form The word cloud — it’s a lot more than a pretty picture! Want to recognize a co-worker for exemplifying one (or more) of the values from our word cloud? Use this form. Anonymous nominations are welcome; you don’t need to fill in your name. After you press “submit,” the form will be sent to Don and the nominee’s supervisor. Thank you!Your namePrefer to remain anonymous? Just leave this field blank. First Last Your email addressPrefer to remain anonymous? Just leave this field blank. Your VIP nominee* First Last What did this person do that impressed you?*Note that the text you enter here will be included on the VIP award certificate, and read aloud when the award is presented.What word cloud values does this person exemplify? (Please select between 1 and 5 words.)* Accountability Achievement Adaptability Appreciation Authenticity Balance Camaraderie Civility Collaboration Commitment Communication Compassion Creativity Curiosity Empowerment Encouragement Excellence Generosity Hard-working Honesty Humor Innovation Inspired Integrity Intuitive Joy Kindness Leadership Mission Open Optimism Passion Perspective Purposeful Recognition Respect Responsibility Service Smart Teamwork Tenacity Trust Please enter the email address for the person who supervises your nominee.* VIP nominations are typically read aloud by the nominator during a Team Medicine meeting. If you would prefer to have this nomination read by someone other than you, please indicate that here.*I will read this nomination myself.I would prefer to have Don Theophilus read this nomination.I would prefer to have someone else read this nomination.Please provide the name of the person who should read this nomination.* This iframe contains the logic required to handle Ajax powered Gravity Forms.