Incentive Award Application Earn extra cash for yourself and your family in just a few simple steps! Use this application if you have a suggestion you think will make our University better, either by saving money or improving our service. Depending on how much money is saved or how much our service is improved, you or a team of you and your co-workers can win cash awards for good suggestions. (See our brochure for the list of ideas that do not qualify.) If you need more space for any step below, please attach additional sheets. 1. Name: Dept: Work phone: Email: Title: Additional people on your team who are submitting this suggestion with you and will share the award (add an additional sheet, if necessary): Name: Dept: Name: Dept: Name: Dept: 2. Will this suggestion save money without sacrificing quality or scope of service? 3. Will this suggestion improve service without costing more? Yes Yes No No (Either Step 2 or Step 3 – but not necessarily both -- should have a “yes” answer for you to be eligible for an incentive award.) 4. What activity or department(s) will your suggestion affect? (We need this information so the appropriate department administrators can look at the suggestion.) 5. Do you need us to withhold your name from the department administrator? Yes No 6. Please describe your suggestion. (Attach additional sheets if necessary) 7. In your opinion, what University officers or staff people must take the steps necessary to put your suggestion into effect? (This will help make sure the right people know of your idea.) 8. Do you need us to withhold your name from those University officers or staff people? Yes No 9. Please explain how your suggestion will improve service or save money. Please be as specific as you can. If you think your suggestion will save money, you should explain how much money you think the suggestion will save, and why. The savings can be either one-time savings or savings that recur every month or every year. Please feel free to attach to your application any documents you think will help show why your suggestion will improve service or save money, or how much money it will save. If you have to make calculations, please show them. 10. List and describe any articles, documents, or other information that support your suggestion. If they are important enough to your idea, you may wish to attach copies. 11. Keep a copy of this completed sheet, and send the original or another copy to: Office of Human Resource Services Emma B. Lommasson Center Rm 252 The University of Montana Missoula, MT 59812