Fillable Employee/therapists Of The Month Nomination Form printable pdf download

Employee/therapists Of The Month Nomination Form

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Employee/Therapists of the Month

Nomination Form

Nominee’s Name _________________________________

Nominee’s Significant Contribution(s) to KidsCare Therapy: Nominations should be based on the following criteria. Some or all

of the contributions listed below should be considered in your nomination form:

•

Core Values – Exemplifies Commitment to quality of service, Accountability in pursuit of professional excellence,

Results through the achievement of goals, and the highest standard of Ethical conduct.

•

Internal/External Customer Service – Delivers consistent and value-added services to our therapists and/or internal

staff, patients and families; is able to gain patient loyalty under difficult circumstances.

•

Cost Management – Seeks alternative ways to accomplish goals and responsibilities by reducing costs.

•

Productivity - Makes a substantial contribution to the continued growth and quality of the organization through

creativity, innovation, teamwork, and continuous improvement.

•

Team Player - Works on projects as part of a team, cooperative interaction and exchange of ideas, contributing skills

that complement those of other team members; fulfills commitments to the team.

•

Attendance – Consistently arrives at work on time and is very seldom out of the office or away from work for any

reason other than vacations and PPD days.

•

Quality Care - Ensures the needs of patients are being met to build on the spirit of genuine care and compassion for

the children and families we serve.

•

Outstanding Citizenship - Strives to learn and improve. Seeks out ways to better themselves and the company. Takes

on responsibilities to support other departments and does not remain idle – is hard working and self-motivated.

Please explain how the individual you want to nominate deserves this recognition by addressing the following:

Core Values

Internal/External Customer Service

This may be dropped off with a member of the HR Department or emailed to

All nominations must

be received by the close of business on the 15

of each month. If the 15

falls on a weekend, all nominations must be received

by Friday of that week.

Employee/therapists Of The Month Nomination Form

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