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Outstanding Employee of The Quarter Award: Nomination Form For

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Facilities Planning & Management, Rewards & Recognition Program

Nomination Form For


Outstanding Employee of the Quarter Award
for continuous outstanding performance throughout the quarter!

Date: _____________________________________

I (name), _________________________________________________
Please Print

from (dept/division) _________________________________________


Please Print

nominate (FP&M employee) _________________________________


Please Print

for the Outstanding Employee of the Quarter Award.

Sometimes

Please complete the following statements by

Unknown
circling either the degree of service at the end Always Comments*
Rarely
Never

Often

of each sentence, or "Unknown."

1) This individual consistently displays a pleasant and


1 2 3 4 5 0
professional attitude toward coworkers and customers.

2) This individual is willing to go the extra mile to help


1 2 3 4 5 0
customers and/or co-workers who need assistance.

3) This individual identifies potential problem areas and


1 2 3 4 5 0
seeks solutions for them.

4) This individual produces a significant quantity and


1 2 3 4 5 0
continuous above-average quality of work.

5) This individual completes all phases of job


1 2 3 4 5 0
assignments with minimum supervision.

6) This individual makes suggestions for improvements


1 2 3 4 5 0
in work methods and procedures.

7) This individual creates an atmosphere of


1 2 3 4 5 0
cooperation and teamwork.

*Comments are essential to the decision-making process. If you wish, please elaborate below and continue on back if necessary.
Please submit completed forms to the attention of Facilities, Rewards & Recognition Committee, Bldg. 81. Thank you for taking the time to nominate one of our outstanding
employees. We look forward to hearing from you again in the future.
Sincerely, The Rewards & Recognition Committee

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