Staff and Ga Member of the month Nomination

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Nominator Information (Who is submitting the nomination?)

Full Name:*

Email Address:

Job Title/Department

Relationship to Nominee (e.g., peer, supervisor, direct report)

Nominee Information (Who is being nominated?)

Full Name:

Job Title/Department

Email Address:

Nomination Justification (Why are they being nominated?)

Why are you nominating this employee?

Describe a specific instance or accomplishment that makes this employee stand out.

What qualities make this employee a role model to others?