WSU SpokaneHealth Sciences Excellence AwardsHealth Sciences Excellence Staff Nomination

2026 Staff Nomination Form

Your Name (nominator)*

First Last

Email*

I am nominating for a:*

Administrative Professional Employee

Civil Service/Classified Employee

Nominee's Name*

First Last

Nominee's Email*

Nominee's Job Title*

Nominee's Phone Number*

Nominee's Unit or Department*

Your Nomination

Describe briefly and concisely, in 750 words or less, the employee's outstanding contribution to WSU. Give specific examples when applicable. Divide your response into the following sections:

What is your relationship to the employee(s), and in what capacity do you interact?
Describe the employee's current duties.
What has the employee/group contributed to their department or to the university/Spokane campus that went above and beyond their normal duties in the current year?
Describe the employee/group contribution to the community, particularly as it relates to their role as a “WSU Ambassador” for both on-campus and off-campus activities.
In summary, what sets this employee/group apart from others in regards to their work?

Provide your responses here:*

Additional References

We ask that you provide three references the committee can contact, if necessary, for supplemental information. Please consider including someone in a position supervising the candidate, someone they supervise or work closely with, and a peer. Also consider people from departments other than that of the nominee who may have knowledge of his/her contributions.

Reference 1 Name*

First Last

Reference 1 Phone Number*

Reference 1 Email Address*

Reference 2 Name*

First Last

Reference 2 Phone Number*

Reference 2 Email Address*

Reference 3 Name*

First Last

Reference 3 Phone Number*

Reference 3 Email Address*

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2026 Staff Nomination Form

Your Nomination

Additional References