Secretary'S Awards Program Nomination Form - U.s. Department Of Energy
Download a blank fillable Secretary'S Awards Program Nomination Form - U.s. Department Of Energy in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Secretary'S Awards Program Nomination Form - U.s. Department Of Energy with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Updated 6/11/12
Print Form
U.S. DEPARTMENT OF ENERGY
Secretary's Awards Program Nomination Form
Reset Form
1. Type of Award (Check Applicable Box)
Secretary's Honor Awards
Secretary's Departure Awards
Secretary's
Appreciation Award
James R. Schlesinger Award
Exceptional Service Award
Secretary's
Excellence Award
Distinguished Service Award
Appreciation Award
Achievement Award
Meritorious Service Award
for Management Excellence
For Departure and Appreciation Awards Only
2. Nominee (Full) Name
(As it is to appear on the certificate)
3 . Certificate Date
4. Award Presentation Date
Check if Group list is attached
5. Current Position Title
(Check if nominee is not a current DOE Federal employee)
6. Award Justification:
Continue on blank sheet of paper and attach if you need more space.
7. Award Citation:
A citation of no more than 20 lines must be attached to nomination form.
(A citation is not required for the Secretary's Appreciation Award for Management Excellence.)
8 . Requesting Office :
9a . Local Approvals:
One or more signatures is typical but not required
Requesting DOE
Employee/Official
Office Manager
Site or other Local Manager
Print
Print
Print
Name:
Name:
Name:
Signature
Signature
Signature
& Date:
& Date:
& Date:
9b. DOE APPROVING OFFICIAL (REQUIRED)(Head of Departmental Element ):
Name and Title (Print):
Signature/Date:
(This Section for Award Program Use)
Recommendation (Initial and Date )
Award Recommended
Reviewing Officials
Approve
Disapprove
DOE Program Manager
–
Office of the Chief Human Capital Officer
(For Honor Awards)
Secretarial Awards Committee:
DOE Secretary:
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Dhhs 1662 - Nursing Record Of Tuberculosis Contacts Form - U.c. Department Of Health And Human Services
Legal
Form Dma 3136 - Internal Quality Improvement Program Attestation Form - North Carolina Department Of Health And Human Services
Legal
Authorization Form For A Third Party Representative To Submit Certification Report(s) - U.s Department Of Energy
Business
Doe/netl-2012/1540 Mobility And Conformance Control For Carbon Dioxide Enhanced Oil Recovery (co2-eor) Via Thickeners, Foams, And Gels - U.s. Department Of Energy
Legal
Instructions For Form St-75 Sales And Use Tax Returns E-file Program Enrollment Form And Certifications - Department Of Taxation And Finance
Financial
Form Ee-1 - Worker's Claim For Benefits Under The Energy Employees Occupational Illness Compensation Program Act - U.s. Department Of Labor, Office Of Workers' Compensation Programs
Legal
Related Categories
Parent category: Business