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American Society for Quality
Hartford Section Recognition Program
Award Nomination Form

Nominee: (Individual/Team: If team list all members.):
Position/Title: (For individual nominee only)
Company:
Rate your nominee on a scale of 0 to 5 by underlining the appropriate response for each of the following seven attributes.
1Consistent contribution to quality, productivity, customer service and/or excellence.
In the course of his/her normal job or on special assignments, the nominee is always ready to contribute ideas and effort in ways that promote quality, productivity, and better service to the customer.
Strongly Agree - - - - - - - - - - - - - - - - - - - Strongly Disagree
2Error-free Performance.
In the course of his/her normal job or on special assignments the nominee accurately and carefully performs duties in a way that minimizes costly errors.
Strongly Agree - - - - - - - - - - - - - - - - - - - Strongly Disagree
3Performance exceeds standards and objectives.
When given an objective or standard to meet the nominee consistently meets or exceeds it.
Strongly Agree - - - - - - - - - - - - - - - - - - - Strongly Disagree
4Positive attitude demonstrated through specific behavior
The nominee displays a positive “can do” attitude that is reinforced by his/her behavior.
Strongly Agree - - - - - - - - - - - - - - - - - - - Strongly Disagree
5Timeliness of work.
The nominee completes critical assignments on time.
Strongly Agree - - - - - - - - - - - - - - - - - - - Strongly Disagree
6Customer Focus
The nominee consistently shows that he/she focuses on serving the customer and not optimizing his/her own position.
Strongly Agree - - - - - - - - - - - - - - - - - - - Strongly Disagree
7Teamwork
The nominee promotes and participates in teams when given the opportunity.
Strongly Agree - - - - - - - - - - - - - - - - - - - Strongly Disagree
8Nominee ‘s accomplishments which are enduring, unique, and creative:
Briefly list at least one of the nominee’s accomplishments, which makes him/her stand out in your mind.
Nominated by:
Title:
Company:
Email:
Phone:

All nominations must be submitted by May 15

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Dorian Shainin Medal

Dorian Shainin, a long time member of ASQ Hartford and the North East Quality Council, is best known for the "Shainin Techniques" - practical tools he developed to help manufacturers solve problems, including problems that had been considered unsolvable.

Learn more about the award at http://www.asq.org/about-asq/awards/shainin.html  

Quality Person of the Year

Every June the Hartford Section recognizes inspectors, engineers, managers, or teams who have made a positive contribution in the past year in the Quality arena.

Please consider making a nomination today