100% of survey complete.

* This form MUST be completed by the student's supervisor.
* ALL student data fields must be complete. This information is necessary should your nomination be chosen as the winner.
* Text boxes must include the minimum number of characters stated. No one-line statements please. This ensures that ALL nominations can be judged fairly.
* Please allot about 30 minutes to complete this form. Once you start, you cannot save the form and return later.
* Deadline for submission: Thursday, March 22, 5 pm.

1. Employer: Name of Department/Area:

2. Department/Work Area Location:

3. First Name of Nominator:

4. Last Name of Nominator:

5. Phone Number of Nominator:

6. Email Address of Nominator:

7. First Name of Nominee:

8. Last Name of Nominee:

9. CWID of Nominee:

10. Local Address of Nominee:

11. Student Employee's Hire Date (in present department):

12. Nominee's Job Title:

13. Nominee's Job Description (max. 1000 characters):

14. Comment on the student employee's reliability. (Be specific: what makes this student reliable?)
(Minimum 500 characters/Maximum 1400 characters.)

15. Comment on the student employee's initiative. (Describe a time or situation when this student took initiative--be specific.)
(Minimum 500 characters/Maximum 1400 characters.)

16. Comment on the student employee's quality of work/professionalism. (Describe in detail, with specific examples if possible.) (Minimum 500 characters/Maximum 1400 characters.)

17. Comment on the student employee's contribution to the department/work area. (Clearly explain the contribution this student makes to your office, lab, etc.) (Minimum 500 characters/Maximum 1400 characters.)

18. Summarize why this student should be named the ULM Student Employee of the Year. Please be as specific as possible. (Minimum 500 characters/Maximum 1400 characters.)