Fillable Printable Employee Of The Month Nomination Form - Florida

Employee Of The Month Nomination Form - Florida

EMPLOYEE OF THE MONTH NOMINATION FORM

Name of Nominee:______________________________ Department:_______________________

Job Title______________________________________ Month/Year_______________________

Please check the appropriate area for which you are nominating the employee and provide specific

details of the accomplishments, outstanding customer service, or achievements that you are

recognizing. These activities must have occurred within the last 60 days.

Timeframe Activities Occurred:______________________________________________________

Describe the employee’s accomplishments/contributions that were above and beyond the

normal duties expected of the position. Include as much specific information as possible:

Explain how the employee provided outstanding customer service (i.e. served as a role model

and/or enhanced the reputation of the department/institution, contributed to a positive work

environment by supporting the University Standards of Service, etc).

Describe the employee’s recent achievement(s) that positively impacted the department or

institution (i.e., exhibited innovation which had an impact on priorities, contributed to

established goals, promoted cost-conscious or cost-cutting measures, etc.).

Nominated by________________________________________ Date________________________

Unit Head___________________________________________ Date________________________

I certify that within the 6 months prior to this nomination, the employee has had no formal corrective

actions.