Employee Nomination Form

1. WHO is your Nominee? (The CEO, VPs, and ERC members are not eligible.)

IndividualTeam

a. Name of Nominee (If this is a team nomination enter the name of one person on that team. You'll be able to enter the other team members in step b.):

Full Name

First NameLast Name

b. If nominating a team, provide the names of the team members:

2. Check all items that describe your Nominee(s)...then explain why. Please give examples for each item checked.

a. TEAMWORK (click on one or more; comment on each item checked):

Excels at working with individuals and teams.Communicates well (talks good and listens too!).Shares responsibilities and Kudos when the team succeeds

How does your nominee exemplify excellent teamwork? (We know they are great..tell us WHY)

b. MSF BUSINESS ACCOMPLISHMENTS (click on one or more; comment on each item checked):

Understands our high-priority objectives and works hard to make them happen.Shows top-notch ability to organize and manage small or large projects/groups.Is a leader, individually, within any team or group...leads by word and by example.

What very special tasks or projects have you seen your Nominee do, above and beyond the call of duty, to enhance our services, our success, save $$$'s (and make us look good too!!)?

c. CUSTOMER SERVICE: (click on one or more; comment on each item checked):

Focuses on discovering, then meeting, customer needs both on time and courteously.Consistently sets the example of providing excellent internal Customer Service at the same level as external service.Finds time to be involved in civic and charitable organizations.

In what ways is your nominee's customer service exemplary?

Your Name

First NameLast Name

E-mail address

example@example.com

Month Nomination Submitted:

Once you complete this form, click on the "Submit" button below. This will then email you a copy of the submission, which is also emailede to the Employee Recognition Committee (WRC).