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Nomination Form-Supervisor

Identification and Contracting is the first phase of The EXCEL Program. Herein, participant identifies whom it wants to participate in EXCEL and the benefit participant hopes the participant will derive. Moreover, participants gain an understanding and appreciation of the commitment they are making and express their motivation to participate. Please take a few minutes to complete the supervisor�s portion of the Nomination Form. The contents of this form will be shared with the EXCEL participant. Please complete the form at your earliest convenience. The EXCEL Program can only begin subsequent to our receipt of this form.

1. Please describe this person�s role. What do you count on him or her to do?
2. What are the major challenges this person will confront in the next 6-12 months?
3. What do you hope this person will gain from his/her EXCEL experience? What do you hope he/she will be able to do after EXCEL that he/she is unable to do or struggles to do now?
4. What skills does the participant need to develop to be ready for the next executive level or a broader role in the organization?
          Additional Information
Your name:
Nominee's name:

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