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6S Employee of the Month Submission

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

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1

Date of Submission

Ex. 3/1/25

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2

Place your submission for Employee of the Month.

See eligibility criteria for additional information. Include the employee's first and last name.
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3

Tell us why you think this employee should be awarded Employee of the Month.

Write personal story, characteristics, or qualities below.
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4

What is your name? (person who is submitting the vote)

Without YOUR name submitted your vote will not count.
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