Outstanding Staff Nomination Form


Nominee's Name________________________________________________


Nominee's Telephone #_____________ Nominee's Dept/Group_______


Your Name_____________________________________________________


Your Telephone #_____________Your Dept/Group__________________


Your e-mail address___________________________________________


What is your relationship with the employee you are nominating?

___ co-worker
___ employee's supervisor
___ employee is my supervisor
___ self
___ other (please explain______________________________________


Which award category are you nominating the employee for?

___ Outstanding Performance Award

___ Excellence in Community Service Award

___ Thrifty Nickel Award

1. What have been the nominee's significant contributions to the GI?

2. In what ways has this person's performance been outstanding? (give examples)

3. Briefly explain how the GI has benefited from the work of the nominee.

4. How does the nominee demonstrate dedication, enthusiasm and the ability to work well with others?

5. Other comments.
If you have any questions about the selections you can visit the program description page or send e-mail to the employee recognition committee.

Return to Employee Recognition Program Home Page.