Governor's Awards for Excellence

Governor's Awards for Excellence

Nominee Information

Nominee First Name*

Nominee Last Name*

Job Title of Nominee*

Agency Contact Information*

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Agency or University*

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Agency contact*

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Agency Contact email*

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Division/Work Unit*

Work Telephone Number

Nominee's WORK Street Address

Nominee City

State

Nominee Postal Code

Nominees Work Email Address*

Basic Job Duties of Nominee*

Description of why this individual is nominated

File Attachments

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Supervisor's Name*

Supervisor's Work Telephone Number

Supervisor's Email Address

Name of Individual Submitting Nomination*

Relationship to Nominee*

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