Student's Name: *
Nominator's Name: *
Student's Title: *
Nominators Title: *
Student's Office: *
Date of Nomination: *
Student's Classification:
Nominator's Email: **
Student's Date of Employment:
Student's Supervisor:
Nominator's Signature (if not completed online):
For each eligibility and selection criteria, chose a ranking that best describes the individual. Written comments would be helpful to determine the winner in the event that two or more individuals receive the same total ranking marks. For each characteristic, please select a ranking that best suits that individual. The ranking scale is as follows: - Superior Performance (consistently performs duties to the highest ability) - Excellent Performance (performs duties above expectations) - Average Performance (performs duties as expected)
Dedication: (seeks to improve the department's goals and objectives through hard work and diligence)
Dedication Ranking: 1 2 3
Additional comments on Dedication:
Dependability: (always shows up for work, can tackle assignments with little supervision)
Dependability Ranking: 1 2 3
Additional comments on Dependability:
Initiative: (actively searches for work or ways to help coworkers when other tasks are completed)
Initiative Ranking: 1 2 3
Additional comments on Initiative:
Punctuality: (consistently shows up for work or meetings on or before time)
Punctuality Ranking: 1 2 3
Additional comments on Punctuality:
Performance: (strives for highest quality of work, promotes excellence and diversity)
Performance Ranking: 1 2 3
Additional comments on Performance: