Northwestern University Commendation for Exceptional Service If a University employee has provided you with exceptional service, we would like to recognize that person formally. Please complete this form to nominate that employee for a Service Excellence Award. Please call 847-491-7509 with any questions. Thank you. Instructions: 1) Save this form as a file on your computer 2) Complete the form 3) Save file and email as an attachment to maudell-gaines@northwestern.edu, or mail to address below. Name of Nominee: His/her department: His/her supervisor (if known): Nominees and their supervisors receive a copy of qualifying nominations. If you wish to remain anonymous, please check here. The following information must be provided in order for the nomination to be considered: Your Name (Nominator): Email: Phone: Street address: City: State: Zip: Date: NU Affiliation: Select One If other, please specify: Reason for nomination (please be specific and include date of occurrence) Northwestern University | Human Resources | 1801 Maple Ave., #6-6107, Evanston, IL 60201 | 847-491-7509