EMPLOYEE OF THE MONTH
NOMINATION FORM
Thank you for formally recognizing the efforts of one of your fellow employees. Please take a few minutes to complete this form. You should
describe any extraordinary efforts and/or accomplishments that make this person a candidate for employee of the month. (Attach additional pages if
necessary) The Staff Communications Recognition Committee will review all nominations for six (6) months following submission. (Please write
legibly) If the nominee is selected, they will be honored as employee of the month. Please Print.
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1.) What adjectives would you use to describe the nominee? _______________
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2.) Why do you feel this person qualifies for Employee of the Month? (Please
give an example of how this employee has gone above and beyond “the call of
duty”.):
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