Exceptional Service Award Nomination

IDAHO DEPARTMENT OF CORRECTION Exceptional Service Award Nomination Form
Nominee’s Name (First, MI, Last):
Position/Rank:
Location:
Award Criteria
The Exceptional Service Award (not to be confused with the Service Award) is presented to an employee
or a group of employees who through some action or accomplishment has brought distinction or acclaim:
•To themselves;
•Their community;
•Their work location;
•The IDOC; or
•The corrections profession.
Any of the following can contribute to an employee or group of employees being selected for the Exceptional Service Award. Please select the criteria upon which this nomination is based.
Personal contributions that have had a positive impact on the IDOC.
Several years of continued career achievements and contributions with the IDOC and/or devotion
to duty.
Involvement in specific assignments of unusual benefit to the IDOC.
Creditable acts in the line of duty that shows initiative and accomplishment.
Display of an uncommon commitment to the community, work location, the IDOC, or the
corrections profession.
Supporting Information
Describe in more detail why you are nominating the nominee for this award. As necessary, attach additional pages (in Word document format with the nominee’s and submitter’s name clearly identified).
# of additional pages attached
Submitter’s Name Signature Date
Division Chief’s Name Signature Date
Director’s (or board representative’s) Name Signature Date
Appendix B 128.00.01.001
(updated 10/17/14)