PART G. CONTACT INFORMATION NAME E-MAIL ADDRESS ADDRESS NOMINATOR DAYTIME # EVENING # FAX # NAME E-MAIL ADDRESS NAME ADDRESS OF INDIVIDUAL NOMINEE, OR GROUP LEADER(S) DAYTIME # EVENING # FAX NO. NAME E-MAIL ADDRESS SURVIVOR INFORMATION ADDRESS (POSTHUMOUS DAYTIME # EVENING # FAX NO. AWARD) PART H. APPROVAL PROCESS (Review/Clearances) Submit nominations through Agency Heads and the appropriate Under/Assistant Secretary or Staff Director. Agency Heads must ensure the validity of all nomination accomplishments. Screen nominations for equal employment opportunity violations and disciplinary actions. Once selected, Honor Award recipients will be screened at the Department. For all nominations, complete items 1 thru 4 below. 1. SIGNATURE OF RECOMMENDING OFFICIAL TITLE DATE 2. SIGNATURE OF HUMAN RESOURCES DIRECTOR TITLE DATE 3. SIGNATURE OF AGENCY HEAD TITLE DATE 4. SIGNATURE OF UNDER/ASSISTANT SECRETARY TITLE DATE Group nominations with individuals other than the submitting agency should have concurring signatures from the participating Under/Assistant Secretary or Staff Director. employees’ 1. SIGNATURE OF UNDER/ASSISTANT SECRETARY TITLE DATE 2. SIGNATURE OF UNDER/ASSISTANT SECRETARY TITLE DATE DATE (Received by DM/OHRM)
PART G. CONTACT INFORMATION NOMINATOR NAME E-MAIL ADDRESS ADDRESS DAYTIME # EVENING # FAX # NAME OF INDIVIDUAL NOMINEE, OR GROUP LEADER(S) NAME E-MAIL ADDRESS ADDRESS DAYTIME # EVENING # FAX NO. SURVIVOR INFORMATION (POSTHUMOUS AWARD) NAME E-MAIL ADDRESS ADDRESS DAYTIME # EVENING # FAX NO. PART H. APPROVAL PROCESS (Review/Clearances) Submit nominations through Agency Heads and the appropriate Under/Assistant Secretary or Staff Director. Agency Heads must ensure the validity of all nomination accomplishments. Screen nominations for equal employment opportunity violations and disciplinary actions. Once selected, Honor Award recipients will be screened at the Department. For all nominations, complete items 1 thru 4 below. 1. SIGNATURE OF RECOMMENDING OFFICIAL TITLE DATE 2. SIGNATURE OF HUMAN RESOURCES DIRECTOR TITLE DATE 3. SIGNATURE OF AGENCY HEAD TITLE DATE 4. SIGNATURE OF UNDER/ASSISTANT SECRETARY TITLE DATE Group nominations with individuals other than the submitting agency should have concurring signatures from the participating employees’ Under/Assistant Secretary or Staff Director. 1. SIGNATURE OF UNDER/ASSISTANT SECRETARY TITLE DATE 2. SIGNATURE OF UNDER/ASSISTANT SECRETARY TITLE DATE DATE (Received by DM/OHRM)
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