2014 Preparatory Nomination Form

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1 2014 Preparatory Nomination Form Background The Prudential - Davis Productivity Awards are made possible through the generosity of Prudential, as Anchor Sponsor, and the vision of the late J.E. Davis and A.D. Davis, co-founders of Winn-Dixie Stores Inc. and co-founders of Florida TaxWatch. Since 1989, the Davis Productivity Awards program has publically recognized and rewarded state employees and work units whose work significantly and measurably increases productivity and promotes innovation to improve the delivery of state services and save money for Florida taxpayers and businesses Winners Last year, 468 awards (including cash and plaques) were given to individuals and teams across the state for their innovations and productivity improvements worth $514 million in cost savings, cost avoidances, and increased revenue for state government Nomination Information The following pages include questions from this year s nomination form. Please use this document to gather and compose your submission before the nominations system opens on Sept. 2. The end of the form includes examples of previous winning nominations and what is not eligible for nomination. If you have any questions, please od&training@ucf.edu. Important deadlines to consider: Throughout August Preparatory nomination form sent out September 2 nd Online Nomination system opens September 30 th Nominations close Note: The questions on this form will be similar to the online version, but program staff may make some minor wording changes to the online form. The changes will not affect the requested information. Thank you!

2 Basic Info Agency (UCF will be selected automatically) Nomination Title: Please create a title for the nomination, such as Improved Agency Response Time. The title should fit within the box shown. Type: Is this a nomination for an individual, or a team? Individual Award ONLY fill this section out if you are nominating an INDIVIDUAL. Their information goes here. Full Name Phonetic Job Title City Phone Team Award ONLY fill this section out if you are nominating a TEAM. Please provide the name and address of each team member, with a limit of 8. Also, in a change for 2014, please explain the role of each team member for this specific achievement. Forms that do not have explanations for the role of each team member WILL NOT BE CONSIDERED. Team Name Member 1 Name Member 1 Member 1 Role Member 2 Name

3 Member 2 Member 2 Role Member 3 Name Member 3 Member 3 Role Member 4 Name Member 4 Member 4 Role Member 5 Name Member 5 Member 5 Role Member 6 Name Member 6 Member 6 Role Member 7 Name Member 7 Member 7 Role Member 8 Name Member 8 Member 8 Role

4 The Achievement Summary: Please provide a detailed, yet concise summary of the achievement. Start and End Dates: When did the work for this achievement begin and end? Begin End Hours Spent: How many hours did the nominee(s) spend on this achievement? Percentage above and beyond: What percentage of this achievement went above and beyond the employee s job description/duties? % Consultants: Please list the companies/individuals that were used as consultants for this achievement, including their specific role in the work. Please list current contact information as well. If no contractors were used, simply enter none. Consultant Hours: Please enter the number of hours spent by consultants on this achievement. If none, simply enter none.

5 Why Should This Win? The following fields make up the details of your nomination. Please take extra care to be as complete and accurate as possible. In what way(s) was this achievement exceptional for the amount of initiative, perseverance and/or extra effort required? In what way(s) should this achievement be considered exceptional for its innovation, increased efficiency, and/or overall savings for taxpayers In what way(s) did this achievement reduce the time, effort, or expense faced by the private sector to creating jobs or expanding a business in Florida? One measure of an achievement going above and beyond is that it has been, or can be, patented or copyrighted. (Please explain what makes your nominee s achievement eligible for a patent or copyright.) Can it be proven that this achievement is a "first-in-florida" accomplishment and/or is a "first-inthe nation," or has national significance? Please provide evidence to support this claim. Added Value Value Number: Please indicate IN ONE NUMBER (i.e. 5,000,000 ) the ANNUAL total added value or cost savings to the taxpayers for this achievement. You will provide an explanation below. $ /per year Value Explanation: In this field, please explain how you calculated the value/savings number entered above. Please provide enough detail to fully explain the math and justification for claiming the value/savings.

6 For More Info In this section, please provide a point of contact that can provide more information about this achievement during the review process and in the near future, once the winners are announced. Info Name Info Info Phone Optional & Finishing Steps Optional: Please provide any additional information about the achievement or employee that would be helpful in the review process, and was not included above, or that would be interesting to note during the awards ceremonies or in publications about the winners. Your Information: Who are you, and how do we get in touch with you? Please provide your STATE address. Your Name Your Your Phone Descriptions of prior winners nominations and what would be eligible For more information on previous winners submissions, please click on the following link: NOTE: The nomination will not eligible if: The achievement was the result of a legal requirement (i.e. a new state program required the creation of a database), or a department initiative (i.e. the team represented Florida on a multi-state Task Force that resulted in a settlement for taxpayers). The achievement falls clearly within an individual s standard job expectations. (i.e. an attorney for the state AG s office tried a case and won a settlement for taxpayers) More than half of the achievement was dependent on purchase of equipment, additional funding, a staffing increase, or assistance from non-nominees. The achievement was the result of implementing software/systems that is/are commonly used to handle similar issues (i.e. implementing a Sharepoint calendar for a group of employees).

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