Outstanding Achievement Award

							                                                                                             Print Form




                         Outstanding Achievement Award
Name

Department


Nominator's Signature


Supervisor's Signature


Department Head's
Signature

          Has this employee received any monetary or non-monetary awards this fiscal year?
          Yes            No          If yes, what was the amount or value?



The Outstanding Achievement Award is granted for achievements that
result in significant benefit to the University, school, institute or
department. These are sustained, long-term accomplishments (for a
period of at least one year) within the realm of the employee's job.

        Please attach a narrative describing the employee's specific
       accomplishment and how that accomplishment supports the
                 University's and/or department's mission?

       Completed forms should be sent to Myra Crosen, ITU Human Resources,
                         MSN 2FL or mcrosen@gmu.edu

                                                                                        March 2007