NOMINATION FOR EMPLOYER OF THE YEAR – City of Goldsboro

NOMINATION FOR EMPLOYER OF THE YEARLaToya Henry2024-09-11T17:30:35-04:00

NOMINATION FOR EMPLOYER OF THE YEAR

An employer who has demonstrated outstanding achievement in employment, providing job opportunities for individuals with disabilities.

Deadline: Tuesday, Oct. 1 by 5:00 p.m.

1. Nominee's Name:
2. Home Address:
Street Address City State ZIP Code
3. Business Address:
Street Address City State ZIP Code
4. Home Phone:
5. Business Phone:
6. Briefly describe why you are nominating this employer. (Include outreach and recruitment program, special accommodations made for the disabled employee, and special efforts to encourage employment of disabled persons.)
Submitted by:
Date:
MM slash DD slash YYYY