Staveley Services North America

Corporate Headquarters
2055 Army Trail Road
Suite 134
Addison, IL 60101
Tel: 800-982-6626

Please complete the following information and click SUBMIT. All fields must be completed to qualify as a nomination.

	Name:
	E-Mail:
	Title:
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1.	Information about the employee you are recognizing:

	Name:
	Title:
	Location:

2.	Please choose one or more categories below that best describes why the employee is being recognized:

	Customer Service Quality of Work Timeliness/Efficiency Knowledge of Work (results interpretation, etc.) Attendance Attitude Teamwork Leadership Other (please specify):

3.	Please provide a detailed description based upon the chosen categories above on why you are nominating the employee. (Note: Nominations that do not include a detailed description will be eliminated.)



4.	Any additional comments or information you would like to mention: