Nominate – The John R. Pettit Endowed Leadership Award

Nominations for the 2022 John R. Pettit Endowed Leadership Award are open now until noon on January 31, 2022. The Award recipient will be announced in spring 2022. Please review the criteria for nominations on the Criteria page before filling out this form. Thank you for nominating your colleagues!

Your Information
Is your nominee a faculty member or a person who sees patients?*
- Yes
- No
Thank you very much for considering your colleague for the Pettit Award. Because this award is designed to celebrate the achievements of professional staff leaders like John Pettit, faculty members and individuals who see patients are ineligible.
Name*
First Last
Department Name*
Box Number*
Relationship to Nominee*
Your Email Address*
Phone Number*
About Your Nominee
Please review the award criteria before submitting your nomination.
Name*
First Last
Department Name*
Box Number
Email Address*
Your Nomination
We suggest that you compose your answers to the following questions in Word or another text editor, then cut and paste them into the electronic form. Thank you for being specific, providing examples and limiting your responses to approximately 300 words (or 1,900 characters) for each answer. Multiple nominations (from different nominators) are very welcome.
Please describe how the nominee meets the criteria of integrity and professionalism.*
Please describe how the nominee meets the criteria of demonstrating leadership.*
Please describe how the nominee meets the criteria of being an agent for positive change.*
UW Medicine is full of wonderful, committed people. What sets your nominee apart?*

Your Information

About Your Nominee

Your Nomination