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UMake a Difference Award

 

Nomination Form

Name of Nominee

Position
Depart, Bldg, room # and telephone
Supervisor/Manager

Eligibility

Full-time, part-time or temporary Employee.

Award

  • Cooler
  • Lunch Coupon
  • Certificate

Questions?
Call (59)3-5188.

If you require more space, click here to e-mail your nomination. Be sure to include all the information included on this form.
 
 

 

What did this person do to prompt you to nominate her/him:

Your Name 

Your E-mail Address
(required)

 

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last updated 03/04/2008

 

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