<br />Employee of the Month Nomination Form

Please provide specific examples and stories of how this employee is a role model for others and demonstrates extraordinary customer service by exemplifying the values of our organization. In your nomination, describe an observation of how this employee Creates a Culture of Extraordinary Service.

Eligibility: All regular full-time and part-time staff employees who have completed 6 months of service and employee record is without any current disciplinary issues.

* = required

* Nominee Name

* Department

* Position

* *Attitude of Compassion* Describe an observation of this employee demonstrating positive professional behavior. Every interaction is an opportunity to provide compassionate care.

* *Responsiveness* Describe an observation of this employee providing quick responsiveness to a customers need.

* *Delivers Extraordinary Service* Give an example where this individual displayed extraordinary service or upheld our service standards.

* Privacy/Integrity Describe an observation of this employee demonstrating an atmosphere of trust by protecting the privacy of others.

* *Teamwork* Describe an observation of this employee demonstrating positive communication delivered with courtesy, clarity and care that created understanding.

* Submitted by (Name)

* Department

* Position

* Phone

The Human Resources Department is responsible for the coordination of the Employee of the Month program and will receive all nominations. Nomination Forms will be received on an on-going basis and will remain active for six months from the date of receipt. The annual Employee of the Year award will be chosen from Employee of the Month awardees.

SUBMIT