Medical Associates of Erie

Employee of the Quarter Nomination

MAE Employee of the Quarter

I am pleased to nominate:(Required)

Which employee would you like to nominate as an Employee of the Quarter?

First Name Last Name

Job title of employee:(Required)

What is the employee's job title?

MAE/PBC location/practice name:(Required)

At which location does the employee work?

Nominated by:(Required)

What is YOUR name?

First Name Last Name

Your email:(Required)

What email address can we use to contact you if more information is needed?

How does the nominee demonstrate our values?(Required)

Nominees should demonstrate our LECOM Health values: Integrity, Teamwork, Health & Wellness, Excellence, Stewardship, Innovate, Respectful, Welcoming, Competent and Compassionate Staff

How did this person add to our success?(Required)

Explain how this person added to the success of Medical Associates of Erie.

Do you have any additional comments?

(Optional)

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Medical Associates of Erie

Employee of the Quarter Nomination

MAE Employee of the Quarter

35th LECOM Student Scholarships Fund