Team or Group: Each member has demonstrated exceptional ability as a Team Player while participating in

      
 (Note: the above description will be printed on each certificate; it must be brief.)

 Recommended Recipients (name, title, department, and telephone number):

 Brief description of effort or achievement which merits this award:

       

 Requester:
 Name         

 Signature     ______________________________________________   Date     _________________________

 Approved:    ________________________________________________________________________________

 Copies:       Human Resources - 1 copy for each recipient
                   Administrative Secretary, Office of the VP for Business and Finance