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Staff Excellence Awards: Nomination Form

Complete the following form to nominate an outstanding University staff member for a 2011 Staff Excellence Award. Please provide as much information as you are able to within the 100 word allowance permitted under each section.

You and/or your colleagues may also submit up to four (4) recommendation forms for the nominee.

Nominee Information
First Name
Last Name
Department
Job Title
Nominee:	[choose one] supervises and/or manages staff employees does not supervise staff employees
Employee ID (if known)
Date of Employment
Supervisor Name
Nomintion Submitted by
First Name
Last Name
Title or Position
Department
Phone
Email

1. Briefly describe the nominee’s job performance and proficiency in their area of responsibility.



2. Describe the nominee’s personal traits (such as dedication, loyalty, reliability, courtesy, honesty, and initiative).


3. How has the nominee continuously demonstrated service concepts necessary to support their department and the University?



4. How has the nominee displayed initiative in making improvements in work methods, standards or operations; or in developing new programs, services, or cost savings which enhance or support their department and the University?


5. Briefly describe the nominee’s displayed ability to work as an effective member of their work team.


6. If possible, provide a list of the nominee’s job history at the University of Houston.

Department/Dates/Title

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