Award Nomination Form

Nomination Procedure

Nominations may be made by anyone including co-workers, peers, supervisors, department heads and citizens.

Nominee Information

Name*

Job Title

Department

Date of Nomination*

Nominator Information

Name*

Email*

Phone*

I am a*

Employee

Resident

Reason for Nomination

Describe what the employee did that you feel warrants recognition. Please be as specific as possible and provide examples when possible. This will enable the committee members to determine for which award this employee is eligible.