University of Colorado Anschutz Medical Campus

Employee of the Month Award Nomination Form

Please complete the form below starting with the information of the nominee, why you are nominating them and then your contact information. If you have questions about this form or process, please contact [email protected].

First Name of Candidate

Last Name of Candidate

Email Address of Candidate

Primary Campus Location of Candidate

School/College/Department of Candidate

Title of Candidate

Please explain how this person goes above and beyond their job duties and/or surpasses expectations. Please be as thorough and detailed as possible.

500 words or less please

Please describe who else supports this nomination (e.g. colleagues, supervisor, peers).

Who is writing this statement?

Your Department

Your Title

Your Email Address

Your Phone Number

Date of Nomination

Enter today's date (ex. 11/11/2020)

Tools & Resources

Schools & Colleges

CU Denver

CU Anschutz

CU Campuses

CU Anschutz Staff Council

Employee of the Month Award Nomination Form