Alpha Chi Chapter (CT)

Team Award

Please Note:  The Team Award will not be awarded this year

 


Purpose:

 To recognize significant contribution to the state's response to National Initiatives
by two or more staff working as a team.

NAME:________________________________
TITLE/POSITION:_______________________________
COUNTY/DEPARMENT:_____________________________________
NUMBER OF YEARS EMPLOYED BY C.E.S.:____________
YEARS IN PRESENT POSITION:_____________________
MEMBERSHIP IN EPSILON SIGMA PHI: _____YES  ____NO

Describe outstanding achievements of this nominee (use back if necessary):
 
 
 
 
 
 
 
 
 
 
 
 

Name of person submitting this nomination_______________________________ Date___________