Forms • Flagstaff • CivicEngage

CITY MANAGER’S EMPLOYEE EXCELLENCE AWARDS NOMINATION FORM

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I nominate the following employee or employee group (Please list all appropriate names for group. You will be asked to indicate each group member’s contribution for the reason they are being nominated.)

Award Categories: You may nominate this person or group for one, some, or all of the values. Check box your selection(s).*

Teamwork
Accountability
Communication

Quality
Leadership

Please explain why you think this employee/group of employees deserves this award (be specific):

Please relate specific instances where the employee/group of employees demonstrated the qualities
upon which the nomination is based:

Please note why the accomplishments of the nominee(s) are above and beyond the call of duty or
demonstrate consistent high performance of job requirements and values.

Please supply any additional information, documentation, in support of this nomination. You may submit up to 5 names and phone numbers of others who are willing to provide support for this nomination.

Please provide your name and phone number so we may contact you with any questions. Your nomination can remain anonymous to others if choose. Please note if you wish to remain anonymous to others in your response.

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