DBS “Successful 75” Employee Recognition Nomination Form


The Division of Blind Services (DBS) is seeking nominations for the "Successful 75 Awards". Please use this form to nominate a current or former employee for the Successful 75 Award. The nominee should demonstrate instances of high level job performance, impeccable customer service, promotion of agency values, and confidence in the abilities of those living with visual disabilities.

The nomination form should only take about 10 minutes to complete. Use the 'Next' and 'Prev' buttons at the bottom of each page to navigate. Click 'Submit' at the end to finish the questionnaire and close your browser. Once you have submitted your nomination form, responses cannot be changed.