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Employee Mentor Award Nomination Form

Do you know employees who provide encouragement, guidance, and support to fellow employees? If so, we want to recognize them! Submit details about their efforts via the form below to nominate them for the Diversity Award to be announced and presented at the Annual Recognition Awards Presentation during Spring 2008 Convocation.

Nomination Deadline: October 31, 2007

Name of Person Being Nominated
First Name:
Last Name:
Department:
Extension:
Supervisor:
E-mail:
 

Name of Person Making the Nomination
First Name:
Last Name:
Department:
Extension:

E-mail:
 

Rationale for Nomination

For each category below, describe the reasons the nominee should be considered for the award. Try to refrain from using names and other identifying information.

I. Describe the attitude generally displayed by the nominee on the job:
II. Describe how the nominee provided consistency and follow-up when assisting a fellow employee:
III. Describe how the nominee offered and/or provided encouragement, support, or guidance to a fellow employee:

IV. Describe how the nominee went the extra mile in to assist a fellow employee:
V. Describe any “WOW” factor the nominee has displayed in assisting a fellow
employee:

Before submitting your nomination, read the information with the identifiers (such as name, department, etc.) removed to see how well the information will be communicated to the Selection Committee. The Selection Committee will only read the form once all identifiers are removed by Human Resources. The Committee’s decision will be based solely on that information. Once you feel certain you have communicated all the criteria with the elimination of the identifiers, proceed by submitting the form. All submissions will be kept confidential by HR. No one on the Employee Appreciation Taskforce will see the names of the nominees.

Related terms: