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<br />.. <br /> <br />. <br /> <br />e <br />"EMPLOYEE OF THE QUARTER" <br />NOMINA TION FORM <br /> <br />Employee's Name: Leol1l!J.('l /lJ(1Is <br />Se II '-0 ( (1;1 a j f1 +e " q 11 Ct:- <br /> <br />D~f) Penne.-II <br /> <br />Job Title: <br /> <br />Nominated By: <br /> <br />Yes / No <br /> <br />~es <br />nD <br /> <br />---1fti- <br />~ <br /> <br />~ t S <br />1lt'J <br /> <br />Hire Date: <br /> <br />fA f; 1117 <br /> <br />iJJ~( Ie r <br />~w <br /> <br />Department: <br /> <br />1. Completed six (6) month introductory period. <br /> <br />2. Any reprimands in personnel file during past twelve (12) months. <br /> <br />3. Satisfactory safety record, both vehicle and personal. <br /> <br />4. Serves as a positive role model for other employees in regard to attitude, <br />performance. and ability. <br /> <br />5. Performs over and above his/her regular job duties and requirements. <br /> <br />6. Has this employee been selected for "Employee of the Quarter" before? If yes, <br />please state when. <br /> <br />7. For the past twelve (1 2) months has received the following overall score on his/her evaluation <br />(please check one only): <br /> <br />_ Superior -ll- Excellent _ Satisfactory <br /> <br />8. Please write a paragraph explaining why this employee is being nominated for "Employee of the <br />Quarter". (attach supplement pages as needed) ) <br />II I) . /. / <br />~ r I tJ tf tf!', <br /> <br />h <br /> <br /> <br />tl <br /> <br />Date: 7-1 (-9F <br />