NOMINATIONS ARE NOW CLOSED FOR 2023!

Once you start the online nomination, you can’t save it and come back later, so please gather the following information and prepare your answers prior to starting the online nomination.

After you have prepared your answers, follow the instructions below to submit your nomination online.

NOMINEE
NAME
TITLE
AGENCY / ADDRESS / CITY / STATE / ZIP
PHONE
EMAIL

NOMINEE’S SUPERVISOR
NAME
TITLE
AGENCY / ADDRESS / CITY / STATE / ZIP
PHONE
EMAIL

LOCAL AGENCY/FIELD OFFICE DIRECTOR AUTHORIZING & SUBMITTING THE NOMINATION
NAME
TITLE
AGENCY / ADDRESS / CITY / STATE / ZIP
PHONE
EMAIL

CATEGORY OF THE NOMINATION

  • Lifetime Service Award
  • Agency/Field Office Director of the Year
  • Supervisor of the Year
  • Employee of the Year
  • Newcomer of the Year
  • Customer Service Award of the Year
  • Special Project or Achievement (Individual or Team) – MAX. 10 TEAM MEMBERS
  • COVID 19 Pandemic Award

You will need the following information for each team member for the Special Project or Achievement (Individual or Team) – MAX. 10 TEAM MEMBERS

NAME
TITLE
PHONE
EMAIL

NOMINATION QUESTIONS (Maximum ten (10) bullet points per question)

  1. Describe or list the nominee’s specific achievement/s that resulted in significant positive outcomes for the agency/office?
  2. Describe the impact of the nominee’s contribution (quantify where possible) to your agency/office or those impacted?
  3. Briefly describe why the individual or team inspires others within your agency/office?

Submit Your Nomination Online

The form has 4 sections, all of which must be completed.  Incomplete nominations will not be considered.

  1. Complete Section 1 – Nominee | Click NEXT
  2. Complete Section 2 – Nominee’s Supervisor | Click NEXT
  3. Complete Section 3 – Local Agency/Field Office Director | Click NEXT
  4. Complete Section 4 – Category & Questions | Click NEXT
  5. Complete Section 5 – Fill in Team members or Leave Blank for Individual nominations | Click SUBMIT

You will be redirected to the first page of the form.  Scroll down to the Nomination box where your confirmation message (Your submission has been received) will appear.