2017 Civilian Awards Nomination Form Please choose one Award Category and One Grade Cluster: Outstanding Individual Leadership Grade GS 13-15 ☐ ☐ Excellence in Individual Achievement Grade SES ☐ ☐ Diversity Excellence ☐ Grade GS 1-12 ☐ Nominee Information: Name of Nominee Position/Title Department/Agency Mailing Address Work Phone Number Email Nominating Official Information: Name of Nominating Official Grade Department/Agency Mailing Address Work Phone Number Email Signature of Nominating Official Civilian Awards Evaluation Factors Please provide supporting narrative. Assist the government in recruiting, promoting, establishing, and maintaining
2017 Civilian Awards Nomination Form Please choose one Award Category and One Grade Cluster: ☐ Outstanding Individual Leadership ☐ Excellence in Individual Achievement ☐ Diversity Excellence ☐ Grade GS 1-12 ☐ Grade GS 13-15 ☐ Grade SES Nominee Information: Name of Nominee Position/Title Department/Agency Mailing Address Work Phone Number Email Nominating Official Information: Name of Nominating Official Grade Department/Agency Mailing Address Work Phone Number Email Signature of Nominating Official Civilian Awards Evaluation Factors Please provide supporting narrative. Assist the government in recruiting, promoting, establishing, and maintaining