Outstanding Staff Nomination Form Date (mm/dd/yy) Nominator's InformationNominator's Name First Last Nominator's Email Nominator's PhoneI hereby place in nomination the following person for Western Piedmont's Outstanding Staff Award:Nominee's InformationNominee's Name First Last Nominee's Title/Position:Reasons for Nomination (Give Examples)1. Commitment and Contribution to the mission of the College and the North Carolina Community College System:2. Excellent job performance exhibiting consistent devotion and contribution to the College; which exceeds normal job requirements:3. Evidence of initiative, innovation and leadership in their area of responsibility:4. Responsible, efficient use of time, money, technology and/or college resources:5. Keeps abreast of current development in his/her field of expertise by participating in professional and personal development:6. Willingness to share time and expertise through service to the College, its students, and the community:7. Suggestions which result in financial savings or increased efficiencies for the College:Please include any additional comments why you think your nominee qualifies for the award. Electronic SignatureBy entering my name below and submitting this nomination form, I certify to the best of my knowledge that the information given is true and complete. Further, I understand and agree that my electronic signature is the legal equivalent of my manual signature. Please Enter Your First and Last Name Page Updated March 24, 2022
