Staff Excellence Nomination Form

Staff Excellence Awards: Nomination Form Complete the following form to nominate an outstanding University staff member for a 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  

Nomination 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. How has this nominee demonstrated excellent customer service internally and/or externally to the University?


7. How has this nominee contributed to student success, directly or indirectly?


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

Department/Dates/Title