Items marked with an asterisk (*) must be completed to be considered for the award.

Name of individual you are nominating:*

Position:*

Department:*

Employee Group:
AFSCME Coach TOP AP SA SM Department Head Dean Don't Know

Name of Supervisor/Nominator submitting nomination:*

Describe why you are nominating this individual for this award.*

Describe how this individual's exemplary performance has contributed to the success of the department/NMU mission/goals (beyond performing daily routine duties).*

Describe how the individual interacts with students, parents, faculty, staff, visitors, or other NMU key constituents.*

Please provide some examples of continuous excellence in service by the individual.*

Supervisor's/Nominator's Overall Recommendation/Comments:*

Name of Nominator:*

Nominator's Phone:*

Nominator's E-mail Address:*