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Service Award Nomination Form

2009 Nomination Form

To nominate an emploee for this award:

1. Complete this Nomination Form.
   
2. Provide a letter of nomination based on the criteria below:.  Please make sure ALL three nomination criteria are addressed.  Be specific and give examples.  Nominees are evaluated on ways in which the nominee has:
   • On the Job (counts for 40% of evaluation)- displayed abilities in the duties associated with his/her position which were above and beyond the expectations of the nominator.
   • Within the University (counts for 40% of evaluation) -  demonstrated effectiveness in dealing with members of the NIU community and/or contributions made to the University which were above and beyond the expectations of the nominee..
   • Within the Community (counts for 20% of evaluation) - made contributions to their community of residence which were above and beyond the expecations of the nominator.
     
3. Solicit TWO additional letters supporting the nomination.  Current or retired NIU employees are eligible to write a letter.  One of the letters may be from a non-NIU employee.  Among the three letters (one nomination letter and two additonal letters of support) make sure ALL three nominations criteria are addressed.  Additional letters will not be reviewed.
   
4. The nomination package containing this nomination form, one nomination letter, and two letters of support must be received in Human Resource Services no later than February 27, 2009, at 4:30 p.m.  Address package to  ATTENTION:  Outstanding Service Awards Selection Committee.  The nomination form, the nomination letter, and the two letters of support must be typed.
   
5. Incomplete nomination packages will not be considerted.
   
6. If more than one nomination packet is submitted for the same employee, only the first nomination packet received will be reviewed.
   

____________________________________________________________________________

NOMINEE

Name:  _____________________________________________________________

Department:  ________________________________________________________________

NOMINATED BY:

Name  _________________________________________    Date:  _____________________

Department ______________________________________________________

Phone/E-mail  __________________________________ _________________________

LETTERS OF SUPPORT

1. Name ______________________________________________________________
   
   Department  _________________________________________________________
   
2. Name ______________________________________________________________
   
   Department __________________________________________________________

December 2008