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2. Name of Nominated Employee
4. Department
5. Position
7. Nominated By
9. Why do you feel the nominee is deserving of the City of Portage Annual Customer Service Award?
   Please include specific examples of where the employee has demonstrated outstanding customer service.
11. How long have you worked with or been associated with the nominee while he/she has been a City of Portage employee? Or you may describe the number of interactions you have had with the nominee.
13. Other Comments
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15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit

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