Employee Of The Month Nomination - Tucson Rubberized Coatings

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Name of Nominee*

Position*

Nominee's Supervisor*

Years of Service*

Please enter a number from 0 to 100.

Reason for Nomination*

Please rate the following: 5=Superior, 4=Excellent, 3=Good, 2=Fair, 1=Poor, N/A=Not Applicable

Quality of Work (Accuracy, workman-ship, thoroughness, attention to detail)

Please enter a number less than or equal to 5.

Quantity of Work (Volume and timeliness of work completed)

Please enter a number less than or equal to 5.

Adaptability (Ability to work under changing conditions or new situations)

Please enter a number less than or equal to 5.

Initiative (Willingness to accept new responsibility, methods, equipment)

Please enter a number less than or equal to 5.

Problem Solving (Ability to make sound judgment and/or solve problems as they arise)

Please enter a number less than or equal to 5.

Dependability (Follows regulations, attendance record, punctuality)

Please enter a number less than or equal to 5.

Helpfulness to Others (Ability to work and get along with supervisors, co-workers)

Please enter a number less than or equal to 5.

Attitude/ Image (Disposition, use of tact, motivation of others, general spirit, appearance, neatness)

Please enter a number less than or equal to 5.

Additional Comments*

Name of Nominator/Proponent*

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Name

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