Northwestern University

Commendation for Exceptional Service

If a University employee has provided you with exceptional service, we would like to recognize that person formally. Please complete this form to nominate that employee for a Service Excellence Award. Please call 847-491-7509 with any questions. Thank you.

Instructions: 1) Save this form as a file on your computer 2) Complete the form 3) Save file and email as an attachment to , or mail to address below.

Name of Nominee:

His/her department:

His/her supervisor (if known):

Nominees and their supervisors receive a copy of qualifying nominations.

If you wish to remain anonymous, please check here.

The following information must be provided in order for the nomination to be considered:

Your Name (Nominator):

Email:

Phone:

Street address:

City: State: Zip:

Date:

NU Affiliation: Select One

If other, please specify:

Reason for nomination (please be specific and include date of occurrence)

Northwestern University | Human Resources | 1801 Maple Ave., #6-6107, Evanston, IL 60201 | 847-491-7509