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• NOMINATION FORM • <br />'EMPLOYEE OF THE QUARTER' <br />CITY OF LA PORTE <br />LA PORTE, TEXAS <br />EMPLOYEE'S NAME: ~DV~ FIY~ 1'~/~ <br />EMPLOYEE'S JOB TITLE: ~~ ` ~~ D~G``~~Y1 <br />GATE OF EMPLOYMENT: O ~ " ~ t~ <br />YES NO <br />1. Has completed six (6) month introductory period. <br />2. Any reprimands in personnel file during past twelve (12) months. <br />3. Excellent safety record. (vehicle and rpe~rsonal) '/ `~ <br />4. For the past twelve (12) months, V(M ~--1'~~~~.1 has received the following <br />overall score on his/her evaluation: <br />(please check one only) <br />Superior ~- ~ Excellent Satisfactory <br />5. Has this employee been recommended before for the "Employee of the Cuarter" award? <br />YES ~ NO <br />6. If yes, please state when and by wham. <br />7. Has this employee been selected before for "Employee of the quarter"? <br />YES '~ NO <br />8. If yes, please state when. <br />9. Please write a paragraph explaining why this employee is being nominated for "Employee of the Cuarter". (attach <br />supplement pages as needed) <br /> <br />SUPERVISOR'S SIGNATURE: l/Y ~2C <br />DATE: 0 ~ J ^ ~~ <br />