EmailMeForm
Employee of the Month
Nomination Form
Date Time
MM
/
DD
/
YYYY
Award for Month:
Service:
Jackson County
Nemaha County
Osage County
TECHS
Employee being Nominated:
Nominated by:
1. Please describe the employee's accomplishments or contributions that went above and beyond the normal duties expected of their position:
2. Please describe how the employee's recent achievements positively impacted the service: