2022 Artie Lee Hinds Awards Form

General Information

Nominating CRP:*

Contact Name:*

Contact Email

Contact Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Nominee name:*

First Last

Nominee has been with the company this long:

State Use contract that the employee works on:

(Please also include the location(s) and/or facility(s) where the employee works)

Was the nominee employed prior to beginning work with your organization?*

Hidden

If yes, in what type of position?

If yes, in what type of position?*

Describe your nominee’s weekly work schedule:

Describe your nominee’s job responsibilities:*

Nominee has shown leadership in these areas of responsibility:

Has this job helped your nominee to become more independent? If so, how?

I nominate this employee for the following reasons:*

“I like my job because*

“My paycheck helps me to*

Please download the Nominee Photo Consent/Release Form here, sign and upload the signed PDF file below along with the nominee's photo. (2 files)

Upload Photo & Signed Consent Form (Max File Size: 5MB)*

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 50 MB.

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