2011 Labor Management Cooperation Award



  UNION     MANAGEMENT
Name Name
Organization Name Organization Name
Title Title
Address Address
Address2 Address2
City/St/Zip City /St / Zip
Phone Phone
Fax Fax
Email Email
  UNION OFFICIALS     AGENCY OFFICIALS
Name   Name
Title   Title
Phone   Phone
         
Name   Name
Title   Title
Phone   Phone

 

II. NOMINATOR(S)

Anonymous nominations will be accepted, but the identity of the nominator must be known to the SFLERP Awards Committee.  Requests for confidentiality will be honored by SFLERP.  Please include your address and phone number in case there are any questions regarding your nomination.  Use both columns in the case of a joint labor-management self nomination.
Name   Name
Organization Name   Organization Name
Title   Title
Address   Address
Address2   Address2
City /St / Zip   City /St / Zip
Phone   Phone
Fax   Fax
Email   Email

I wish to remain anonymous YES NO
Relationship to the nominees

 

III. NOMINATION CATEGORY
Most Improved Relationship Sustained Level of Cooperative Relations
Most innovative Relationship Other

 

IV. STATEMENT IN SUPPORT OF NOMINATION

Statement not to exceed 1000 words.  Please attach separately to your fax.

 

V. REFERENCES

Please include at least two references

Name   Name
Title   Title
Address   Address
Address2   Address2
City / State / Zip   City / State / Zip
Phone   Phone
Fax   Fax
       
Name   Name
Title   Title
Address   Address
Address2   Address2
City / State / Zip   City / State / Zip
Phone   Phone
Fax   Fax
Signature of Nominator ____________________________   Signature of Nominator ____________________________

Signature of nominator(s) is required.  Scan/email completed form to: 
sflerp@sflerp.org or FAX to 703-852-4461.

Nomination must be received no later than Friday, April 18, 2011