Team PERD Nomination Form

Selection criteria for the Team Award are as follows:

Customer Service which has been improved through the efforts of the team.  The improvements in customer service can be either in measurable elements or statements from customers.  Customers can be either internal or external to the organization.  Up to 35 points.

Cost Savings that have been realized.  The savings must be as a direct result of the team’s involvement in a process and can be shown in terms of actual dollar savings or increased productivity.  Up to 35 points.

Special Accomplishment on the job within the past year.  Describe what the team did above and beyond performance requirements that were unique or benefited the organization.  Up to 30 points.

Team Agency

Team Name

Team Lead Name

Team Lead Phone

Team Lead Email

Team Agency Head

Nominator Name / Point of Contact

Nominator Phone

Nominator Email

Customer Service

Cost Savings

Special Accomplishments

Additional Comments