Division of Business and Finance
The University of Memphis

WINGS AWARD
Request Form
Please make copies of this form for your nominations and retain this original.
Complete form and route to approving authority.

 All award forms should also to be routed to the Department of Human Resources to obtain award stickers for congratulatory letters and WINGS Award pins and to place award documentation in employee personnel records.

 Name of Recipient
 Department/Activity
 Job Title
 Recipient's Supervisor

 Brief description of effort or achievement made by the employee deserving this award: (Attach additional sheets as necessary.)

        

 Please Print,
Your Name
Job Title
Department

 Your Signature __________________________________________   Date _____________________

 Signature of Director/Designee (when required) ___________________________________________

                                                                                                    Date ______________________