Kearney Public Schools

Employee of the Month Nomination Form

Nominee's Name

In which department does the nominee work?

Employee's job title?

Please describe your relationship with the nominee.

Please tell why this person deserves to be Kearney's Employee of the Month.* Give examples of how the individual fulfills job responsibilities, demonstrates the use of KPS beliefs, and how he/she goes beyond his/her normal duties:

Please provide your preferred email address or phone number so we may notify you if this person is selected for the award and then click on SUBMIT at the bottom of this form:

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Kearney Public Schools