Shining Star/Employee of The Month Submission Form


Click here to view our Shining Star/Employee of The Month Winners

This form allows Administrators to submit their Shining Star/Employee of The Month winners with ease.

  • Submittor Details

  • Enter your name.
  • Please enter your Alaris email so that we may contact you regarding this submission if need be.
  • Employee Details

  • Enter any designations, separated by commas, the employee might have, that will be displayed after their name (e.g. RN, LPN, etc.).
  • Choose the month that the employee won.
  • Enter the employees position title.
  • Please select a facility.
  • Enter when the employee joined the facility (or how many years of service).
  • Drop files here or
    Accepted file types: jpg, gif, png, jpeg, Max. file size: 100 MB, Max. files: 5.
      Submit the employee's winning picture.