Staff Member of the Month Nomination Form
The University of Mississippi Staff Council wishes to recognize staff members that make this a great college to work for.

Reasons for nominations can include, but are not limited to, service to the University, innovative thinking, and/or going the extra mile to help others. Nominations received after the 5th of the month will be considered at the next month's Staff Council meeting. All nominations will be considered for three consecutive months or until awarded, whichever comes first. If the nominee is not recognized as a Staff Member of the Month during that time, he/she will be notified of his/her nomination and given a letter thanking him/her for his/her service. (Nominees must be benefit eligible staff members that have a classified position.)

Nominee's Name
Your answer
Nominee's Job Title
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Nominee's Department
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Nominee's Email (if known)
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Nominees Years of Service (if known)
Your answer
Reason for Nomination
Please give specific examples of why you feel the staff member should be recognized.
Your answer
Nominator's Name
Your answer
Nominator's Email
Your answer
Nominator's Affiliation with the University
Would you like to remain anonymous?
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