Sample Employee Of The Month Nomination Form

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555 SW Coast Hwy  Newport, OR 97365-4934
541-265-8801  541-265-5589 (Fax)
EMPLOYEE OF THE MONTH NOMINATION FORM
*** (Or Attach Your Own Recognition Form) ***
Nominee Name ________________________________ Title ____________________
Your Name___________________________________ Title_____________________
Business Name __________________________________
Address ________________________City_________ Zip ______Phone___________
Length of Service
Month of Nomination
PLEASE COMMENT ON EMPLOYEE
***Please keep in mind that the criteria to be considered for Employee of the Month includes Knowledge of the Area, Friendliness, Quality of
Service, and Role Model for fellow employees. ***
GUIDELINES FOR EMPLOYEE OF THE MONTH
♦Employee (paid or as an unpaid volunteer) must be associated one year or longer with company.
♦The Employee of the Month qualifies to be selected as Employee of the Year.
♦Nomination Forms will be kept on file for 90 days. The forms on file will be used to choose an Employee of the Month.
♦Employees may be nominated more than one time in 12 months, but if chosen Employee of the Month,
they may only receive this award one time in a period of 12 months.
PLEASE RETURN: ATTENTION BOBBI PRICE
Phone: (541) 265-8801 or Fax: (541) 265-5589

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