Employee of the Month Nomination Form (EOM)
A.C.E Award
Nomination Form
Form must be returned by the third week for current months’ consideration
(PLEASE PRINT CLEARLY or TYPE)
Today’s Date: YOUR NAME (the nominator)
Name of Nominee: Job Title:
Dept. Nominee works in: Nominee’s Supervisor:
Return this form to Doug Campbell – doug.campbell@admin.
Nomination for:
∆ Teamwork ∆ Creativity & Innovation ∆ Quality of Service ∆ Leadership
*Please only select one category, use separate forms for multiple nominations
Explain how this employee exceeds expectations for the nominated category.
What stands out most to you about this employee?
Give specific examples that support your statements for nomination.
Please attach additional pages as necessary!
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