Bonus Nomination Form

Attachment III

Facilities and Operations

Recognition Program

Nomination Form

um id #:	     
Full Name:*	     	     		     
	Last Name	First Name		Middle Initial
Title (Market):	     
Department:	     
Supervisor’s Name:	     
Date of Nomination:	     
Award amount:	     	SHORTCODE:	     

*For team nominations attach list of names, umids, award amounts and appropriate shortcodes for each employee listed.

Nomination Based on which Criteria:

1. 
   Exceptional Job Performance
   
   1. 
      Sustained outstanding performance above and beyond standard job requirements
      
2. 
   Managing People
   
   1. 
      Demonstrated strong management skills by providing a positive working environment. Able to motivate people to perform at the highest level. Demonstrates fair handling of employee issues that is consistent with University policies.
      
3. 
   Customer Service
   
   1. 
      Extraordinary achievement or contribution requiring maximum effort that significantly impacted customer service and productivity that is not likely to be repeated
      
4. 
   Special Projects
   
   1. 
      Cost savings/efficiencies
      
   2. 
      Special committees
      
   3. 
      Substantial major project completion
      

Please describe in detail accomplishment, impact of activity or project, monetary savings, improved morale or improved customer relations, etc. Please attach relevant Performance Plan/Review.

     

Executive Director’s Signature

     

Date: