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Everyday Heroes Nomination Form
PUSD Classified Employee Recognition Program | Nomination Form
To Nominators: Please be aware that the nomination you are making for this employee will be reviewed by a committee for acceptability. This nomination may also be considered for higher level recognition. Classified employees should be recognized for excellence in work performance, school and community involvement, and leadership and commitment to our District students.
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PERSON YOU ARE NOMINATING
First Name
*
Your answer
Last Name
*
Your answer
Job Title
Your answer
Work Location
Your answer
NOMINATION INFORMATION
"PUSD Everyday Heroes" honors classified employees who demonstrate excellence in: *work performance, *school and community involvement, and * leadership and commitment to our District and students. Please provide evidence/detailed statements for the bullet-ed areas in your recommendations for this individual. Thank you!
Your answer
NOMINATOR INFORMATION
I am:
*
a PUSD employee
not a PUSD employee
FIrst Name of Nominator
*
(must be provided)
Your answer
Last Name of Nominator
*
(must be provided)
Your answer
Contact Phone #
*
(must be provided)
Your answer
Email Address
*
Your answer
Current Job Title
Your answer
Work Location
Your answer
Disclosure:
I request that my name [not] be disclosed to the candidate.
Yes, disclose my name to the candidate
No, do not disclose my name to the candidate
State your connection to this employee:
Please state your connection to this employee (i.e. parent, contractor, vendor, coworker, etc.)
Your answer
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