Staff Senate Employee of the Year: Reference Form

This form is to be used by those who have been asked to serve as a reference for a nominee. Each Nominee must have ONE nomination form and THREE references to be considered for the Employee of the Year Award. Please fill out the form below to the best of your knowledge. Your reference will be kept confidential throughout the selection process.

This reference form must be submitted by March 15, 2013.

Nominee Information
Nominee Name * First Last
Reference- Your Information
Name * First Last
Email
Phone - (###) - ### ####
Reference Classification
You can assist the EOY Selection Committee greatly by giving us accurate and professional responses concerning the Nominee's qualifications for this award. Please be concise in your comments, including any experiences with the Nominee that you feel are relevant.

Please elaborate on each of the following criteria:
Initiative *

Describe some ways your nominee has shown initiative in their staff role at UCA.
Integrity
*

Integrity can be described as behaving ethically and honestly. How has your nominee exhibited that in their work?
Teamwork *

How do co-workers or students your nominee works with describe them?
Accomplishments *

What professional accomplishments has your nominee accomplished this past year?
Closing comments for the EOY Selection Committee:

Please include any additional/other comments in the space provided.
Thank you for agreeing to serve as a Reference for the EOY Nominee. The winner(s) will be announced at the annual Service Awards Reception in April.

Staff Senate Employee of the Year: Reference Form

Staff Senate Employee of the Year: Reference Form

Nominee Information

Reference- Your Information

Thank you for agreeing to serve as a Reference for the EOY Nominee. The winner(s) will be announced at the annual Service Awards Reception in April.