2019 CSUN Award of Merit Nomination Form

An Award of Merit is bestowed to a staff member who demonstrates exceptional performance and integrity in service to the University community. A maximum of six awards are provided annually.

Eligibility:

Regular, full, or part-time staff (permanent or long-term temps) of the University. Nominees must have completed a minimum of two years of staff service. Previous recipients are eligible for the Award of Merit five years after their last award.

Nomination:

Please provide information pertaining to the Nominee. You (the Nominator), and the Nominee's Supervisor.

It is recommended that you use the preview of the nomination form provided on the Staff Service Awards page to prepare your responses so that you may paste them into the form in one sitting.

After you successfully submit your nomination, you will receive an email with which you can view and print a copy of your nomination. If you do not receive an email, you have not successfully submitted your nomination.

The nomination must be complete and received by Noon, Thursday, February 28, 2019.

Date *

Month

Day

Year

Nominee's First Name *

Nominee's Last Name *

Nominee's Department *

Nominee's Title/Position *

Nominee's CSUN E-Mail *

Nominee's Campus Phone *

Nominator's Full Name (You) *

Nominator's Department *

Nominator's Title *

Relationship to Nominee (Colleague, Supervisor, etc.) *

Nominator's E-Mail *

Nominator's Campus Phone *

Nominee's Supervisor/Manager (FN, LN - complete if different than Nominator)

Supervisor/Manager's Title *

Supervisor/Manager E-mail *

Supervisor/Manager Campus Phone *

1. Please describe in detail how the individual you are nominating has exemplified outstanding performance of more than two years and been a top department or divisional performer. *

2. Describe how the Nominee has contributed to the improvement of existing processes or the development of new ones, which result in significant productivity gains and/or cost savings to a department, division or the University. *

3. How has the nominee exhibited citizenship to the University through demonstrating service to others through successful involvement in department/division initiatives, while embodying the University goals, objectives, and values. *

Optional: Additional examples of how the nominee meets the award criteria.

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2019 CSUN Award of Merit Nomination Form