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2. 
4. Nomination Date:*
6. Employee's Name:
8. Employee's Department:
10. Additional Employee Information (if needed):

    Note: If you do not know the employee’s first and last name and/or department, please provide some context clues in the box above so we can identify the employee (what they do, how you interacted with them, etc.)

12. Why you're nominating this person:*

    In this section, please provide as much detail as you can so it’s clear why this person is performing outstanding work for the City of Midland and its residents.

14. Additional details you’d like us to know about this person or your experience:
16. Nominated By:*
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17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

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