EAST TENNESSEE STATE UNIVERSITY EMPLOYEE RECOGNITION PROGRAM Nominee Information: First Name: Department: Campus Telephone: Last Name: Title: Email Address: Nominator Information: First Name: Department: Campus Telephone: Campus Box: Last Name: Title: Email Address: Please write a short narrative describing how the nominee(s) demonstrate one or more of the following nomination criteria: (Limit 200 Words) • Performed a noteworthy single act • A human interest story • Job performance above and beyond the call of duty • Exhibits a positive attitude and image of the university • Outstanding support or attendance of university programs and events • Outstanding service through involvement in civic organizations and/or through volunteerism • Open, you tell us their story If you would like, you may also include an interesting personal story or information that would enhance the employee's recognition. I certify that the above information is correct. I give East Tennessee State University’s Office of Human Resources permission to prepare a release and use the information on the Human Resources departmental website and the external Jobs Web Site. Signature of Nominator: Date: Signature of Nominee: Date: