Employee of the Month

*Nominated employee first name:

*Nominated employee last name:

*Employee's department:

*RiverView campus location:

What does this employee do to exceed the expectations of our patients, visitors and co-workers? Please give examples of when they have gone above and beyond their job description and RiverView's Standards of Behavior (Communication, Teamwork, Respect/Empathy, Integrity, Ownership and Job Excellence/Professionalism).

Please give detailed examples of how the nominee:

Serves as a role model to others.
Goes above and beyond the requirements of the job.
Is actively involved in committees, fundraisers, fairs, trainings and other miscellaneous activities.
Takes initiative.
Demonstrates a high overall quality of performance.
Shows a willingness to learn and take on new responsibilities.
Has the ability to train others and is gladly willing to do so.

Why do you want to nominate this individual for the RiverView Health Employee of the Month?

*Your name:

*Email address:

*Phone number:

*Your department:

Date

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