Above and Beyond Form for Nomination
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Above and Beyond Nomination Description
Above and Beyond Form for Nomination
Comprehensive Plan
Veteran's Day Speech

Instructions: This form is to recommend an individual for recognition for going above and beyond their duties at RCPS. There are 3 categories from which to nominate: Licensed Employee, Support Staff & Volunteers. Submit your forms to Carol Johnson, Coordinator for Award Program,  School Board Office, no later than May 22nd. The Employee Recognition Committee will review and determine the top nominees for recognition. Nominees will be recognized at the end of the year breakfast held for staff on May 29th.


Criteria: The actions cited for this award are not a normal part of the nominee’s job duties. Their actions will have gone above and beyond because they demonstrate one or more of the following:

·      Solve a problem or address an issue at RCPS that will provide outstanding service to RCPS, students and/or parents, or fellow employees.

·      Create or foster a more productive workplace.

·      Promote or improve the image of RCPS.

·      Encourage teamwork and collaboration within RCPS.

·      Enhance the appearance of RCPS.


Circle the appropriate selection: 

Licensed Employee      Support Staff    



Nominee’s assigned job:


Location (circle)

             SBO     RCES     RCHS

How do you know the nominee?


Person(s) making this recommendation (required):



Write the reasons that this nominee deserves to be recognized.

Give specific examples of actions that the nominee takes that are outside normal job duties.





























 If we have questions or need clarification, may we contact you? 

Phone number ________________________






6 Schoolhouse Road | Washington, VA 22747