Princess Margaret Hospital

PMH Services

The Gerald Kirsh Humanitarian Awards

Outstanding caregivers may be nominated for the Gerald Kirsh Humanitarian Awards by completing the online form below or downloading the formIcon: Acrobat and mailing it to:

The Gerald Kirsh Humanitarian Awards
c/o The Princess Margaret Hospital Foundation
610 University Avenue
Toronto, ON
M5G 2M9

Nominations are accepted between September 1st and August 31st of each year — nominations must be received by October 15th for consideration for the November awards.

Image: Top Left
Nominating Your Caregiver
Image: Top Right

Nominee:

First

Last
Nominee's Title:

Nominee's Department:

Your Name:

Address:

City:

Province/State:

Postal Code:

Country:

Your Telephone No:
Area Code
Telephone
Extension

 
Relationship to Nominee:

How long knowing nominee?

May we let the nominee know you nominated them and mention your name as one of the nominators at the Kirsh Awards Ceremony? Yes
No
How has the nominee provided exceptional care and attention to the patient while demonstrating an outstanding commitment to the needs of the patient and his/her family?

Why should the nominee receive a Kirsh Humanitarian Award? Please explain using examples other than those stated in the previous field.

   

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