| Questions: |
| |
* |
1. |
Pay Policies
Does the employer provide compensation when you are away from work performing military service? |
Yes |
No |
Not Sure |
| |
|
|
Comments
|
| |
* |
2. |
Benefits and Leave Policies
Does the employer, either as a matter of published policy or practice, provide continuation of health care, dental, or insurance benefits for you or your family when you are away from work performing military service? |
Yes |
No |
Not Sure |
| |
|
|
Comments
|
| |
* |
3. |
Awards and Recognition
Has the employer received recognition or an award for their support of our troops? |
Yes |
No |
Not Sure |
| |
|
|
Comments
|
| |
* |
4. |
Supervisor Training
Does the employer train its managers and supervisors on the Uniformed Services Employment and Re-Employment Rights Act (USERRA) so that they can effectively manage their Guard and Reserve employees? |
Yes |
No |
Not Sure |
| |
|
|
Comments
|
| |
* |
5. |
Advocacy
Does the employer engage in activities or have established policies which demonstrate an eagerness to help increase employer support for the Guard and Reserve within the community and encouraging other employers to do so. |
Yes |
No |
Not Sure |
| |
|
|
Comments
|
| |
* |
6. |
Service Member Recognition
Does the employer provide positive recognition of its Guard and Reserve employees in organizational publications, events, or in other ways? |
Yes |
No |
Not Sure |
| |
|
|
Comments
|
| |
* |
7. |
Family Support
Does the employer interact with and support the family members of employees during periods of military service? |
Yes |
No |
Not Sure |
| |
|
|
Comments
|
| |
* |
8. |
Deployed Member Support
Does the employer interact with and support Guard and Reserve employees during their periods of military service? |
Yes |
No |
Not Sure |
| |
|
|
Comments
|
| |
* |
9. |
Hiring Preference
Does the employer provide any preference to members of the Guard and Reserve in the process of hiring new employees? |
Yes |
No |
Not Sure |
| |
|
|
Comments
|
| |
* |
10. |
General Military Support
Does the employer establish policies or engage in activities which are generally supportive to the US Armed Forces, such as discounts, services, donations, scholarships, employment programs, etc.? |
Yes |
No |
Not Sure |
| |
|
|
Comments
|
| |
* |
11. |
Employee Involvement
Are the company's employees involved in support of National Guard and Reserve in ways that are not part of the official structure of the organization? |
Yes |
No |
Not Sure |
| |
|
|
Comments
|
| |
|
|
|
|
|
|
| Nominator Information: |
| |
* |
Salutation: |
Specify if other:
|
| |
* |
Name: |
|
| |
* |
Civilian Title: |
|
| |
* |
Address: |
|
| |
* |
City: |
|
| |
* |
State: |
|
| |
* |
ZIP Code: |
|
| |
* |
Telephone: |
|
| |
* |
E-Mail: |
|
| |
If military: |
| |
|
Rank: |
|
| |
|
Service |
|
| |
|
Unit/Branch: |
|
| |
|
|
|
|