Parabit System

Employee Recognition Form

Parabit would like to recognize those employees who give the extra mile. There are many ways in which
an employee may contribute about and beyond what is expected. This may include a suggestion or
action that improves an established process, improves service to customer(s) served by Parabit, and/or
when an employee goes above and beyond in their regular work assignment or a special project.

In 50 words or less, please indicate the employee you would like to nominate for recognition and the
reason you are nominating them (please write legibly and include all information requested).
Nominations should be supported with specifics of what the nominee’s actions or efforts resulted in.

Who may nominate: Any Parabit employee (peer, subordinate, supervisor, or manager).
Who can be nominated: Any employee.

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Please select the most appropriate activity or accomplishment related to your nomination.

Attendance Workplace Safety Distinguished Service Extra Mile

Customer Service Cost Savings Personal Achievement Other

Date:____________________ Nominee Name:______________________

Job Title:__________________ Work Location:_______________________

Accomplishment (Reason for nomination)

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Nominator’s Name: ____________________________ Date: _______________________

(Please Print)
Please give your nomination to your supervisor. You may also send you nomination via inter-office
email to the attention of David Nation.