Mooseheart Alumni Association | Above & Beyond Staff Nomination Form
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Above & Beyond Staff Nomination Form

PURPOSE

  • To support personnel at Mooseheart, defined as family teachers, houseparents, secretaries, administrators, campus department employees.
  • To recognize outstanding full-time and part-time staff employees of Mooseheart, Child City and School who embody Mooseheart’s standards for excellence, innovation and caring for children.
  • To reward those employees who show exemplary individual achievement, contribution, and performance in their jobs and other related duties beyond their own offices.
  • To acknowledge those whose efforts have inspired and supported the performance and achievement of others.
To be eligible for the nomination for the Above and Beyond Staff Award, the following requirements must be met:

Staff employee must have been employed by Mooseheart full-time for at least three (3) years prior to the year of nomination. A staff employee must demonstrate the following:

  • Serves as a role model/mentor for students, colleagues and community.
  • Exemplifies service, cooperation and collaboration.
  • Performed his/her assigned duties with extraordinary effort, dedication, and special pride.
  • Demonstrate loyalty and dedication to the Mooseheart and to its mission.
  • Is attentive to the diverse nature of the Mooseheart community.
  • Consistently treats all members of the Mooseheart community with dignity and respect.
  • One who goes above and beyond the requirements of the job and has a history of consistent contributions to the well being of the children and the entire Mooseheart community.

NOMINATIONS

  • Nominations may be made by any member of the Mooseheart Alumni Association, current Mooseheart students or faculty.
  • Nominees must be/have been an employee of Mooseheart, Child City.
  • Nominees may be current employees or former employees.
  • Nominees may be living or deceased

Nominee Information:

Name

Address

City
State
Zip Code
Phone

Email:

Status:
LivingDeceasedCurrently Employed at MooseheartFormer Emplyee or Retired from Mooseheart

Department:
Position:
Years employed:
Year Retired or Left Mooseheart:

Total Years Employed:

Please list other Mooseheart Involvement:

Please use this page to write the reasons that you feel the nominee is worthy of the "MAA Above & Beyond Staff Award".

NOMINATED BY:

Name:

Address:

City:
State:
Zip:
Phone:

Email:

Member type:
MAA MemberMooseheart StudentMooseheart School Faculty

Nominations must be reveived by July 31 of the current year.