Employee of the Month Nomination Form (EOM)



Employee of the Month Nomination Form (EOM)

YCS is in the business of caring for children & their families.

We also take pride in hiring employees who invoke the same philosophy.

(PLEASE PRINT CLEARLY or TYPE)

Today’s Date: _________________YOUR NAME (the nominator) ___________________________________________

Nominator is: □ Employee □ Client □ Collateral

Name of Nominee: _____________________________________ Job Title: ___________________________________

Program Nominee works in: __________________________ Nominee’s Supervisor: ___________________________

Length of time Nominee is employed:_______________________ (must be at least 1 yr.)

Fax this form to Human Resources @: 973-672-7845

Explain how this employee exceeds expectations & demonstrates dependability. Include how well he/she interacts with program participants and peers.

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What stands out most to you about this employee?

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Give specific examples that support your statements.

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Please attach additional pages as necessary!

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