PUBLIC SERVICE AWARD OF EXCELLENCE
The award is open to individuals or teams employed at the time of their
nomination in or by an organization named in Schedules I, IV and V of the Financial
Administration Act, as well as the Canadian Forces. Partners from other
governments or sectors, who are members of eligible teams mainly composed of
public service employees, may be granted an Award.
CANDIDATE(S) – Note: Public Service Human Resources
Management Agency of Canada (PSHRMAC) may contact the candidate(s) for more
information.
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Name (Mr./Mrs./Ms./Miss) or Team Name (in both official
languages):
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Individual Nomination:
Team Nomination*:
Name of Team Leader:
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Title/Group/Level:
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Department/Organization:
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Complete Mailing Address:
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Telephone:
Facsimile:
E-mail:
Language of Preference:
English / French
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* For a team nomination, please consult the “Submitting a Nomination for a
Group” section in the Guidelines under the Public Service Award of
Excellence. Do
not complete a nomination form for each team member.
NOMINATED BY
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Name (Mr./Mrs./Ms./Miss):
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Telephone:
E-mail:
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Title:
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Department/Organization:
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Complete Mailing Address:
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Signature:
Date:
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1) The award is given in seven categories that represent
the priorities of the Public Service of Canada. For a detailed explanation
of the criteria for each category, please consult the “Understanding the
Selection Criteria” section in the Guidelines under the Public Service
Award of Excellence.
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Please indicate the category in which your nomination falls (choose
only one).
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Outstanding Career
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Employment Equity and Diversity
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Management Excellence
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Official Languages
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Excellence in Citizen-focused Service Delivery
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Exemplary Contribution under Extraordinary Circumstances
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Innovation
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2) Indicate in one page (maximum) the accomplishment(s) of
the nominee(s) in relation to the category selected above.
3) Please submit a minimum of three
letters of endorsement (maximum of five) describing the nominee(s)’s
achievement(s) in the selected category to support the nomination. The
endorsement letters may come from the following groups: peers, supervisors,
clients, partners and supervised staff. Please consult the “Securing Letters
of Endorsement” section in the Guidelines under the Public Service
Award of Excellence.
4) Please forward the completed
nomination to your departmental coordinator.
The information you provide on this document is collected under the
authority of PSHRMAC for the purposes of administering the Recognition
Policy.
Personal information will be protected under the provisions of the Privacy
Act and will be stored in Personal Information Bank, TBS – PCE – 702, Public Service of Canada
Awards.
Personal information that you provide about another individual may be
accessible to him or her under the Privacy Act.
For more information on the award and to review the Guidelines under
the Public Service Award of Excellence, please contact your departmental award
coordinator or visit PSHRMAC Web site at: http://publiservice.hrma-argh.gc.ca/hr-rh/ar-pr/new_excellence/intro_e.asp
or at http://www.hrma-argh.gc.ca/hr-rh/ar-pr/new_excellence/intro_e.asp.
IMPORTANT
Closing date for submission of nominations: February 10, 2006.
Please note that the selection committee will not accept incomplete
nominations
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