Thelma Crouch Outstanding Staff Employee of the Year Form

(For best results, please fill out this form using the Google Chrome Browser.)

Please fill out the items below to submit your nomination for this award.

Briefly describe the qualities that explain why this nominee should be selected as the Thelma Crouch Outstanding Staff Employee of the Year. Attach additional documentation if necessary.

Name of Nominee *

Title of Nominee

Nominee's Department

Years in Department

Total Years of Service at NWOSU

Name of Nominee's Supervisor

Phone Number of Supervisor

Nominated by *

Email address of person submitting form info *

Additional Info to Support Nomination *

Date Submitted *