Sample Employee Spotlight Of The Month Nomination Form

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Employee Spotlight of the Month
Nomination Form
Name / Title of Employee: _______________________________________________________________________
Length of Service: ______________________________________________________________________________
Company Name: _______________________________________________________________________________
Address: ______________________________________________________________________________________
Nomination submitted & approved by (Name and Title):_______________________________________________
Phone: _____________________________ E-mail:___________________________________________________
Please provide information on your nominee by answering the following questions:
Nomination for:
( ) Administrative Support Person: Someone working in your office i.e. clerical, accounting, etc.
( ) Operational Support Person: Someone in sales, drivers etc. and other non-office employees
( ) Non Employee Support Person: Someone that helps you and works with you to succeed but is not
an employee
Describe how the nominee displays honesty and dependability in the workplace: __________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Provide at least two (2) examples of how the nominee’s demeanor and positive attitude benefits your business:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Describe how the nominee’s effective and efficient performance supports your company’s success: ___________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Provide at least one (1) example of how the nominee gives back to the Delaware Community and surrounding
areas (i.e., community service/involvement): ________________________________________________________
_____________________________________________________________________________________________
Please include why you feel your employee deserves this recognition: ___________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Please Note: Nomination form must be complete for consideration.
th
Nomination forms Due By: The 15
of the Month
Please return nomination form to: Lisa Ayers, Delaware Small Business Chamber of Commerce
120B Astro Shopping Center, Newark, DE 19711.
Questions?, please contact Lisa Ayers @ 302-482-2120 or .
Monthly winners will be recognized in DSBC Monthly Newsletter.
All Winners will be recognized at the Annual Spotlight Luncheon in 2014.

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