Employee of the Month Nomination Form
Complete this form and hit "send" to submit your nomination. Please note, nominees must have completed their third year of employment to be considered. Your nomination will remain active for one year from date of submission. Thank you for taking the time to support our staff! Questions? Contact
What is today's date?
First Name of Nominee
Please include middle initial, if possible.
Last Name of Nominee
Is this employee at Teacher or other staff member?
Certified are teachers, administrators, salaried employees. Classified are all support and hourly staff.
Other Staff Member
Employee's Location (School/Building/Dept.)
Andersen Middle School
Beadle Middle School
Central Middle School
Don Stroh Administration Center
Keith Lutz Horizon High School
Kiewit Middle School
Millard North High School
Millard North Middle School
Millard South High School
Millard West High School
Russell Middle School
Ron Witt Support Services Center
Support Services Center
Transportation - CMS-Annex
Young Adult Program
Other (Not sure where their home office is? Just click here and we'll find them!)
Are you this person's Supervisor or Manager?
Please tell why this person deserves to be Millard's Employee of the Month.
Give examples of how the individual fulfills job responsibilities, demonstrates the use of MPS beliefs, and how he/she goes beyond his/her normal duties:
What is your name?
How do you know your nominee?
Please provide your email address so we may notify you if this person is selected for the award:
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