Neurology Gratitude E-Card

To recognize a Department of Neurology colleague – direct report, supervisor, faculty member, trainee, research professional or staff member – for their outstanding work, please complete the following:

Recipient's First Name *

Recipient's Last Name *

Recipient's Email * (Copy & paste from Global Address List to prevent any errors in the email address) Please ensure accuracy of email prior to submitting

Recognition Message

Your E-Card message as it will appear (include keyboard returns and spaces): *

0/50

Would you like your submission to remain anonymous to the recipient? *

Yes

First Name

Last Name

Do you consent to have this shared in Department of Neurology Newsletters and/or on the Department website? *

Yes