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