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UCM Student Employee Of the Year Nomination Form

The Student Employee of the Year Award is established to recognize a student employee who embodies service, excellence, dedication, & whose academic achievements remain stellar. Deadline for submitting this form: Wednesday, February 20th, 2013 by 5:00 p.m. Each student may be nominated only once per dept/office.

Nominator's Department:*
Nominator's Name:*
Nominator's Email Address:*
Nominator's Phone Number (Ex: 555-5555):*

Eligible terms of employment: Students must have been employed a minimum of 3 months full-time or 6 months part-time between July 1, 2012 and June 30,2013 (anticipated). This may include students working off-campus in community service or tutoring programs. Graduate Assistants and Teaching Assistants are not eligible.

Student Name:*
Student 700#:*
Student Class Level:*
Student Major:*
Student Email Address:*
Student Office/Department:*
Student Job Title:*
Student Employment Start Date (Ex: mm/dd/yy):*
Student Employment End Date (Ex: mm/dd/yy or currently employed):*
Student Employee's Job Description:*

Please describe in detail the accomplishments of the nominee in the areas below that you feel qualifies the employee to be considered for the Student Employee of the Year Award. Give specific examples of the nominee's achievements and contributions that influenced your nomination. Students will be evaluated on the following qualities: Reliability, Initiative, Uniqueness of Contribution, Quality of Work, & Professionalism.

Please submit your nomination letter into the box: *

Questions: Please contact Amber Goreham, Elliott Union 302, 660-543-8225,