RIVER
STATE
COLLEGE
STAFF EMPLOYEE OF THE MONTH
NOMINATION FORM
Name of Nominee:
(one person per card)
Dean and Campus:
Department and Position:
Date of Nomination: Supervisor:
Please use the bottom of this form to explain why this person should receive the award.
Why should this person be recognized?
What occurred to make you notice this person’s performance?
How has this person improved student/community relations?
How has this affected you or your department?
What career-related accomplishments on the part of the nominee support your
recommendations?
IRSC 553 Online (Rev.11/09)