Employee Of The Month Nomination Form - New Jersey - Edit, Fill, Sign Online

JSH EMPLOYEE OF THE MONTH NOMINATION FORM

Because customer service and excellence are important to Jersey Shore Hospital, we want to recognize

those employees that exude Jersey Shore Hospital’s high standard of service and respect. Use this form

to nominate an employee who you feel deserves recognition. Submissions can be made by placing the

form into the nomination box by the Employee of the Month bulletin board (across from the Lab).

Nominations must be submitted by the 25th of the previous month. Winners will be chosen and

announced by the Customer Service Committee around the 1st of the month. The benefits awarded to

the winner will run through the 30th of that same month.

When nominating an employee, please provide the following information:

Nominee’s Name: _________________________________________________________________

Nominee’s Department: ____________________________________________________________

Recent event/occurrence that made you nominate this employee:

_________________________________________________________________________________

Three outstanding characteristics of this employee:

1: ______________________________________________________________________________

2: ______________________________________________________________________________

3: ______________________________________________________________________________

Nominated by:

Your Name: _______________________________________________________________________

Department: _____________________________________ Phone Number: ___________________

Fillable Printable Employee Of The Month Nomination Form - New Jersey