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Employee of the Month Nomination Form
Nominee's First and Last Name:
Nominee's Pronouns (optional):
Nominee's Email Address:
Nominee's Department:
Counseling and Psychological Services
Health Education Resource Office
Hilltop Child Development Center
Housing and Residence Life
KU Memorial Unions
KU Recreation Services
Legal Services for Students
Office of the Vice Provost for Student Affairs
Sexual Assault Prevention and Education Center
Sorority and Fraternity Life
Student Conduct and Community Standards
Student Engagement Center
Student Support and Case Management
Watkins Health Services
Nominee's Job Title:
Nominee's Job Description:
(Please include a brief 2 – 3 sentence description of the nominee’s job tasks)
Nomination Month:
January
February
March
April
May
June
July
August
September
October
November
December
Please describe how the nominee has excelled in meeting the following criteria:
Contribution to enhancing department and/or campus community morale
Positive impact on the student experience
Commitment to holistic health, wellness, and safety of all Jayhawks
Collaboration with colleagues, students, and campus and community partners
Overall job performance
Nominator's First and Last Name:
Nominator's Email Address:
Nominator's KU Affiliation:
Student Affairs staff/colleague
Staff
Faculty
Student
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