Employee of the Month Nomination Form

The Employee of the Month Award recognizes the outstanding contributions of Penn State Scranton staff. Eligible staff members can nominated by faculty, staff or students for exemplary performance on the job.

Staff employees with a minimum of "Meets Standards" annual rating may be nominated. Employees may not nominate their immediate supervisor, manager, director, etc.

To nominate an employee, complete the nomination form below, providing specific examples of how the employee meets the criteria listed.

Name of Nominee

Staff employees with a minimum of 'Meets Standards' annual rating. Employees may not nominate their immediate supervisor, manager, director, etc.

Nominee"s Department

Nominee"s Email

Nominee"s Supervisor:

Nominator"s Name

Staff, faculty, or students can make a nominate someone for employee of the month.

Nominator"s Department

Nominator"s Email

Nominator"s Phone Number:

Criteria

Choose which of the following apply:

Excellence in performance — going above and beyond job expectations.

Making a difference to the campus community.

Acting as a role model for peers and colleagues.

Excellence as a team player with innovative problem-solving skills.

An outstanding accomplishment that benefited the department/students.

Extraordinary service to internal and/or external customers.

Enthusiasm/energy given to assigned work.

Exemplary efforts to nurture a welcoming climate of care, concern and civility.

Creative innovations to service, process or work tools.

Provide a specific example of excellence in performance — going above and beyond job expectations:

Provide a specific example of making a difference to the campus community:

Provide a specific example of acting as a role model for peers and colleagues:

Provide a specific example of excellence as a team player with innovative problem-solving skills:

Provide a specific example of an outstanding accomplishment that benefited the department/students:

Provide a specific example of extraordinary service to internal and/or external customers:

Provide a specific example of enthusiasm/energy given to assigned work:

Provide a specific example of exemplary efforts to nurture a welcoming climate of care, concern and civility:

Provide a specific example of creative innovations to service, process or work tools: