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Employee of the Quarter Nomination Form
Employee of the Quarter Nomination Form
Employee of the Quarter Nomination Form
Name of Nominated Employee
(Required)
Providers and exempt employees (admin/managers) cannot be nominated.
Date
MM slash DD slash YYYY
Explain how this employee exceeds expectations for the nomination.
(Required)
What stands out most to you about this employee?
(Required)
Give specific examples that stupport your statements for nomination.
(Required)
Email
This field is for validation purposes and should be left unchanged.
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806.467.5700
Address
100 Medical Drive
Borger, Texas 79007
