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2. Employee Name*

   Please list the name(s) of the employee or the department you would like to recognize

4. Department
6. Value

   1. Outstanding Customer Service
   2. Excellence & Innovation
   3. Integrity
   4. Leadership
   5. Teamwork
8. Brief Explanation*

   Please explain how the employee demonstrated the City of Bellmead values

10. Photos

    Please upload any pictures you wish to share

12. Submitted by

    Please include your name

14. Phone Number
16. Email Address
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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field