Platinum Supplemental Insurance Platinum Star - Platinum Supplemental Insurance

Your Name*

Your Name

First Last

Name of Platinum Star*

Name of Platinum Star

First Last

A Platinum Star is someone who not only does their job well, but goes above and beyond what is expected of them to help others succeed. A Platinum Star should be professional, pleasant, accommodating and responsive.

Please select one or more of the form fields below to describe in detail how your nominee demonstrated excellence in at least one of the following Platinum Star characteristics.

Describe how the nominee displays professionalism in the office. Please provide examples.

1. Describe how the nominee displays professionalism in the office. Please provide examples.

2. Describe how the nominee has been accommodating in the office. Please provide examples.

2. Describe how the nominee has been accommodating in the office. Please provide examples.

3. Describe how the nominee has displayed responsiveness in the office. Please provide examples.

3. Describe how the nominee has displayed responsiveness in the office. Please provide examples.

4. Describe how the nominee has been pleasant in the office. Please provide examples.

4. Describe how the nominee has been pleasant in the office. Please provide examples.

Platinum Star Director Nomination Form