Goodwill Works! Nomination Form

Shining Stars: Goodwill Works! Nomination Form

This award will be presented to a program participant who has benefited from a Goodwill program and who presents him/herself as an exemplary employee, admired by supervisors and co-workers.

Nominators Name(Required)

First Last

Nominators Email(Required)

Enter Email Confirm Email

Nominators Work Location(Required)

Nominee's Full Name(Required)

Nominee's Manager Name(Required)

Nominee's Work Location(Required)

Nominee's Date of Hire(Required)

Nominee's Email(Required)

Enter Email Confirm Email

Nominee's Phone Number(Required)

Nominee's Current Job Title(Required)

In detail, describe the nominee's past and current job responsibilities:(Required)

In detail, describe the nominee's life situation or disadvantages that they have overcome to achieve success:(Required)

In detail, describe what qualities the nominee possesses (such as resilience, optimism, courage, a strong work ethic, a commitment to others) that make them a worthy candidate:(Required)

Will the nominee be willing to tell their own story through video, or will a parent or guardian speak on their behalf? Please provide a telephone number where the parent/guardian may be reached:(Required)

Please attach the two of the following files: 1) Letter of recommendation from the nominee's supervisor, OR 2) Letter of recommendation from someone at Palmetto Goodwill who is familiar with the nominee's work experience (success coach, former supervisor, counselor, etc.) and 3) A signed photo release form for the nominee (can be downloaded from the Shining Stars webpage)(Required)

Drop files here or

Accepted file types: jpg, png, pdf, word, Max. file size: 50 MB.

Both files are required in order for this nominee to be considered. For additional questions, please ‘save & continue’ this form and email Laura Payne at LPayne@palmettogoodwill.org.

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