‘Making A Difference’ 2009 Mohave County Court’s Judicial Employee Recognition Program Nomination Form Submit completed nominations to Superior Court Human Resources, 401 E. Spring Street, P.O. Box 7000, Kingman, Arizona, 86401 by 5:00 p.m. Friday, November 14, 2008. Please limit your nomination to no more than one sheet of paper front and back. Please be as descriptive as possible and do not use any court acronyms or abbreviations as the nomination forms will be reviewed by public members of the Superior Court Judicial Employee Merit Commission. Your nomination may include attachments such as newspaper articles highlighting the employee’s accomplishments.

During the past year, nominees will have Made A Difference by demonstrating one or more of the following: 1) Outstanding job performance; 2) Exemplary customer service; and/or 3) Made a noteworthy job-related accomplishment that improved court operations and/or went above and beyond the call of duty in furthering one or more of the Mohave County Court’s strategic issues including: *** Access & Customer Service *** Fair & Timely Resolution of Disputes *** Court Facilities *** Motivated, Competent & Professional Judges/Staff *** Community Understanding and Support Check nomination category: □ Individual Employee Award □ Team Award

Name & Court Division of Nominee(s):

1.______/______

2.______/______

3.______/______

4.______/______

1. In your own words describe in detail WHAT the employee/team did to merit consideration for the ‘Making A Difference’ recognition award.

2. Tell us what was the IMPACT of the employee/team’s actions on customer service and/or court operations. How did the employee’s actions make a difference in the Mohave County courts and/or the citizens/communities served by the courts?

Print Name of Individual Submitting Nomination Signature Date *Nominations must include name and signature of individual submitting nomination in order to be accepted for review.