University of Southern Indiana

Nomination Form

Nomination Form and Information

The Support Staff Performance Recognition Award began in 2007 and all benefit-eligible support staff (full and part-time) who have been employed by the University for one year are eligible to either nominate or be nominated for this annual award. Voting by Staff Council members will be held in June and the award will be presented during the University's fall Employee Recognition Luncheon.

In addition to the "traveling" trophy, there is a monetary award of $500 to the winner.

For more information about the process, refer to: Guidelines.

Who Can Be Nominated?

  • Any benefits-eligible member of the support staff (full or part-time), who is not currently a Staff Council member and hasn't received the award in the last 3 years
  • Length of service one year or more
  • Meets criteria below

Who Can Make a Nomination?

  • Any benefits-eligible member of the faculty, administrator or support staff (full or part-time), who is not currently a Staff Council member

Confidentiality: Nominators are asked to keep all nominations confidential. Please do not share with nominee or other USI employees. Nominators’ names will also be kept confidential and will not be provided to either current Staff Council members or the nominee.

Support Staff Performance Recognition Award

Completed nomination forms can be submitted via the online form or by printing off the pdf form and sending it through the campus mail to the current Staff Council Chair. 

The nomination process is open May 16, 2018 until June 1, 2018. Any nominations sent via email or received after June 1, will not be considered.

Please provide a brief description of why you think the person noted below deserves this recognition award. This description can be approximately 4-5 bullet points or sentences. For your nominee to be considered for the award, all information requested must be completed. Include in your brief description how the nominee meets at least two (2) of the following four (4) criteria:

I nominate the following member of support staff who meets the eligibility criteria outlined below for the Support Staff Performance Recognition Award:

Nomination Information:

Name of Nominee

Nominee’s Department

1.  How does the nominee provide superior service?

2.  How does the nominee demonstrate excellence in the performance of job duties and responsibilities?

3.  How does the nominee continually contribute to a positive and collaborative work environment?

4.  How does the nominee exhibit exceptional resourcefulness, innovation, or creativity?

Recommended by:

Your name (Nominator)

Your Department

Your Email Address

Your Phone Number


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