Spirit of Excellence Award - Nomination Information


  • Copy/paste the text below into an email or a text file.
  • Answer both questions clearly and concisely. What you submit is the only information by which the nomination will be rated.
  • Adhere to maximum word limits for both questions.
  • Nominee and nominator names will be removed prior to rating.
  • The CSB Spirit of Excellence Nomination Packet provides additional background information about the award process; copies of this packet are also available at CSB service sites.
  • If you have questions or would like a Word copy of the form via email, please contact Joel Friedman at 703-324-4433 (TTY 711).
  • Nominations for 2016 are now closed. A new call for nominations will be issued in January 2017.

Nomination Form Information


Nominator Information

  • Name
  • Position title (if CSB employee)
  • Program/service area (if CSB employee)
  • Telephone
  • Email address

Nominee Information (If this is a team nomination, list additional team members [to include name, position title, and program/service area]. Also identify those team members who are not CSB employees.)

  • Name
  • Position title
  • Program/service area
  • Is the nominee a CSB employee?

Select the one area for which the nominee(s) is/are nominated:

  • Leadership
  • Customer Service
  • Innovation
  • Stewardship
  • Good Samaritanship

Questions (Please be concise. This is the only information by which the nomination will be rated. Adhere to maximum word limits.)

  1. Describe how the nominee promoted, reinforced, or exemplified the CSB vision and mission in the areas nominated. (Maximum 500 words.)
  2. Describe how the nominee’s promotion, reinforcement, or exemplification of the CSB vision and mission went above and beyond his/her routine job duties and responsibilities. (Maximum 500 words.)

Signature of Nominator


Learn about the criteria for the Spirit of Excellence award.

CSB logo

24-Hour CSB Emergency Services
Phone: 703-573-5679 | TTY: 711

CSB Entry & Referral
Phone: 703-383-8500 | TTY: 711
Contact the CSB by Email

email icon

Tisha Deeghan, Executive Director

CSB Administrative Office
12011 Government Center Parkway, Suite 836, Fairfax, VA 22035-1100
Phone: 703-324-7000 | Fax: 703-653-6626 | TTY: 711

Contact Fairfax County: Phone, Email or Twitter | Main Address: 12000 Government Center Parkway, Fairfax, VA 22035
Technical Questions: Web Administrator

ADA Accessibility | Website Accessibility
Awards | FOIA | Mobile | Using this Site | Web Disclaimer & Privacy Policy | Get Adobe Reader
Official site of the County of Fairfax, Virginia, © Copyright 2016

Website Feedback Website Feedback    Globe with various flags representing Web site language translations   Language Translations

Return to Graphic Version