Employee of the Month Nomination Form

Completed nomination forms must be received in Human Resources & Equal Opportunity (HR/EO) no later than the first day of September, December, March or June for that nominee to be eligible for selection in the following quarter. If the 1st falls on a weekend, deadline is the following Monday. Once a nomination form has been received, the nominee will be eligible for selection for the next two consecutive quarters. A nominee must have a half-time or greater appointment in a permanent, continuing position at the time of nomination and have completed one (1) year of service at KU. Assistance in completion of a nomination form can be received by calling HR/EO at 864-7408. Normally, the Recognition Committee will not conduct interviews. The nomination form will be the primary source of information in the selection process. Supporting information is very helpful and may be submitted to hrdept@ku.edu.

denotes required field.

Nominee

Full Name:
KU Start Date:

Employee Type University Support Staff
Unclassified Professional Staff & Academic Staff
Affiliated Corporation

Nominee's Supervisor Name:
Phone:

Co-Worker(s) / Contact Person(s) for Reference(s) Name(s):
Department:

Nominator

Name:

Department:
Required Field

Campus Phone:
E-mail:

Briefly describe the nominee's job duties:
Describe in detail the nominee's dedication and interest in getting the job done, his or her personal and professional strengths, and the quantity and quality of his or her work:
Describe in some detail the nominee's adaptability to circumstances and creative problem solving ability. Include examples of exceptional and/or significant contributions during the past 12 months:
Describe in detail the nominee's ability to interact/work well with others:
Describe in detail any special service to fellow employees, the university community, or to other individuals, organizations, or communities:
Are there any other ways in which this nominee has distinguished himself or herself? If yes, please explain.

Additional Resources: Employee of the Month Nomination Form (offline version); Employee Recognition; Nomination and Selection Procedure