Excellence in Service Award Nomination Form

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* 1. Name of Nominee

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* 2. County

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* 3. Describe the nominee’s qualities, exemplary skills, and the overall quality of their work.

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* 4. Describe specific actions the nominee has taken that highlight their unique contribution to their office’s effectiveness, or that have made office procedures more efficient.

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* 5. Describe the nominee’s relationship and interactions with staff, management, outside agencies, and the public/customers

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* 6. Describe the nominee’s contributions to the child support program. Include participation on work groups, committees, or projects