To nominate an A-3 staff member, please complete this form and send nominations to:
Ms. Stephanie Perkins-Lane, chair of the A-3 Assembly's
Employee Recognition Committee,
119 Bennett Hall/6273.
Deadline for submissions is April 25,1997.
Nominee's Name_________________________ Nominee's Position__________________
Nominee's Campus Address________________________________ Ext. ______________
Your name________________________________Your Position______________________
Your Campus Address_____________________________________ Ext. _______________
Do you supervise the nominee? Yes________ No_______
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Volume 43 Number 28
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How has the nominee shown dedication to their position and their office/department?
How does the nominee demonstrate teamwork skills?
How does the nominee demonstrate a high level of communication skills?
How does the nominee demonstrate dedication to personal and/or work-related self-involvement?
How does the nominee contribute, outside of work, to helping others outside work?
< Please write one to two paragraphs stating why you feel this individual should be honored by the A-3 Assembly Employee Recognition Committee.
April 1, 1997