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WIC and CSFP Service Award Survey 2024

This award is for Service of 5, 10, 15, 20, 25, 30, 35, or 40 years by December 31, 2024.

Please include any retirees you would like to honor.

Each survey can hold up to 20 staff names per agency. If you have more than 20 staff receiving service awards, please complete a 2^nd survey.

Please complete by June 15, 2024.

Agency Name

* must provide value

Contact Name

* must provide value

Contact Email

* must provide value

Have, or will any of the staff at your agency reach a service milestone between the beginning of calendar year 2021 and at the end of calendar year 2024?

*You may include any retirees you would like to honor.

* must provide value

Yes

reset

How many staff have reached a service milestone?

*Up to 20 staff. If you have additional staff, please complete another survey.

Staff Name

Years of Service

Staff has reached or will reach these service milestones between CY2021 - CY2024 (Check all that apply):

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

Staff Name

Years of Service

Staff has reached or will reach these service milestones between CY2021 - CY2024 (Check all that apply):

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

Staff Name

Years of Service

Staff has reached or will reach these service milestones between CY2021 - CY2024 (Check all that apply):

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

Staff Name

Years of Service

Staff has reached or will reach these service milestones between CY2021 - CY2024 (Check all that apply):

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

Staff Name

Years of Service

Staff has reached or will reach these service milestones between CY2021 - CY2024 (Check all that apply):

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

Staff Name

Years of Service

Staff has reached or will reach these service milestones between CY2021 - CY2024 (Check all that apply):

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

Staff Name

Years of Service

Staff has reached or will reach these service milestones between CY2021 - CY2024 (Check all that apply):

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

Staff Name

Years of Service

Staff has reached or will reach these service milestones between CY2021 - CY2024 (Check all that apply):

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

Staff Name

Years of Service

Staff has reached or will reach these service milestones between CY2021 - CY2024 (Check all that apply):

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

Staff Name

Years of Service

Staff has reached or will reach these service milestones between CY2021 - CY2024 (Check all that apply):

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

Staff Name

Years of Service

Staff has reached or will reach these service milestones between CY2021 - CY2024 (Check all that apply):

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

Staff Name

Years of Service

Staff has reached or will reach these service milestones between CY2021 - CY2024 (Check all that apply):

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

Staff Name

Years of Service

Staff has reached or will reach these service milestones between CY2021 - CY2024 (Check all that apply):

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

Staff Name

Years of Service

Staff has reached or will reach these service milestones between CY2021 - CY2024 (Check all that apply):

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

Staff Name

Years of Service

Staff has reached or will reach these service milestones between CY2021 - CY2024 (Check all that apply):

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

Staff Name

Years of Service

Staff has reached or will reach these service milestones between CY2021 - CY2024 (Check all that apply):

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

Staff Name

Years of Service

Staff has reached or will reach these service milestones between CY2021 - CY2024 (Check all that apply):

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

Staff Name

Years of Service

Staff has reached or will reach these service milestones between CY2021 - CY2024 (Check all that apply):

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

Staff Name

Years of Service

Staff has reached or will reach these service milestones between CY2021 - CY2024 (Check all that apply):

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

Staff Name

Years of Service

Staff has reached or will reach these service milestones between CY2021 - CY2024 (Check all that apply):

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.