2. EMPLOYEE OF THE QUARTER NOMINATION FORM

4. *The event that the nomination is for must have occurred within the past twelve (12) months of the quarter that the employee is being nominated for*

6. Nomination*
   -- Select One --1st Quarter: October 1 - December 312nd Quarter: January 1 - March 313rd Quarter: April 1 - June 304th Quarter: July 1 - September 30
8. Nominee:*
10. Nominee's Department:*
12. Describe reason for nomination:*
14. Name of Nominator:*
16. Department:*
18. Initials:*
20. Date: *
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field