Innovation Award Nomination Form

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

For consideration, your candidate must meet all required criteria and have two recommendations, in addition to this nomination. Nominees without at least two recommendations will not be considered. As many as four (4) recommendation forms can be submitted for each nominee.

Nominee Information

First Name

Last Name

Nominee Email

Department

Job Title

Employee ID(if known)

Date of Employment

Supervisor Name

Nomination Submitted by

First Name

Last Name

Title or Position

Department

Phone

Your Email
1. Briefly describe the nominee’s personal traits (such as service orientation, enthusiasm, reliability, creativity, and initiative).

2. How has the nominee come up with new processes or improvements to their department or to the University?

3. How has this nominee taken ideas and turned them into action plans?

4. How has the nominee saved University resources or used them in new and more effective ways?

5. In what other ways has this nominee contributed to their department or the University?

You may now send emails to up to four persons who can submit recommendations on behalf of your nominee. Recommendations improve your nominee's chances of success.

First Email Name

Second Email Name

Third Email Name

Fourth Email Name

Human Resources

Human Resources

Innovation Award Nomination Form