Employee of the Month Nomination

Employee of the Month Nomination
We would like to recognize our employees that display Mon Health System values.
Department
Date
MonthDayYear
Date
Employee of the Month Nominee
Department
To assist the Employee Review Board in reviewing this nomination, complete the following and provide examples:
INTEGRITY
List at least 3 examples of how the employee displays honesty/integrity. Please be descriptive.
COMMITMENT
List ways the employee displays a positive image inside and outside of SJMH. List any SJMH events that the employee has participated in outside of work (5K, Easter Egg Hunt, Christmas Party, Safety Fair, Parades, etc.)
ACCOUNTABILITY Based on employee absences over the past 12 months. Determined by HR
RESPECT
How does the employee display a pleasant personality with patients, co-workers, vendors, visitors, volunteers? List an example:
EXCELLENCE
Explain how this employee goes above-and-beyond the expected job duties including assisting volunteers, coworkers (inside and outside their department), patients, and visitors.
Please forward Employee of the Month nomination form to appropriate Department Head for comments to support the values above:
Please forward Employee of the Month nomination form to appropriate Department Head for comments to support the values above: Should the Employee be considered?
YesNo
Department. Head Signature
Date:
MonthDayYear
Date
HR has confirmed Eligibility
Date:
MonthDayYear
Date
Should be Empty: