Heart of Lakeland Nomination Form
From simple acts of kindness to changing lives, we know Lakeland team members work to make
a positive impact on those around them every day. We want to help tell those stories and recognize them. Nominate the team member by filling out this sheet or completing a form online located at www.spectrumhealthlakeland.org/heartoflakeland

Once we receive your nomination, we’ll determine the best way to recognize that individual within the four designated categories.

Please accept my nomination of the following Spectrum Health Lakeland team member, department or physician:

State the reason for nomination with details that describe and support the Heart of Lakeland category. If you need more space to provide examples, please feel free to attach additional pages or even photos.