Employee Of The Month Nomination Form Page 2
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LIFETIME ASSISTANCE INCORPORATED
EMPLOYEE OF THE MONTH NOMINATION
______________________________________________
NOMINATED EMPLOYEE
PLEASE COMPLETE THE JUSTIFICATION ON THE REVERSE SIDE.
Nominator_________________________________________
Date______________
Site Supervisor Review_______________________________
Date______________
(Forward to Program Director Immediately)
Program Director Review_______________________________ Date______________
(Forward to Human Resource Director Immediately)
Committee Review
Month 1:___________________
Month 2:___________________
Month 3:___________________
Month 4:___________________
Month 5:___________________
Month 6:___________________
Employee Recognition_________________________________
(month)
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Parent category: Business