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2. Department*
   -- Select One --Agriculture/Weights and MeasuresAssessorAuditor-ControllerBehavioral HealthBuilding DepartmentChild Support ServicesClerk of the BoardCAOCounty Clerk-RecorderCounty CounselDistrict AttorneyElectionsEngineeringEnvironmental healthFacility ServicesFair-Plumas-Sierra CountyFarm AdvisorHRITLibraryMuseumPlanningProbationPublic Health AgencyPublic WorksRisk ManagementSheriff/CoronerSocial ServicesTreasure/Tax Collector
3. Today's Date*
   Today's Date
4. Reporting Month*
   -- Select One --JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
6. Submitter's Name*
7. Submitter's Email*
9. Employee of the Month*
10. Employee Photo*
12. Summary of Achievements (Employee)*

    Use this space to summarize why you'd like you highlight this employee this month with examples.

14. Grants

    1. Have you received any grants this month?
    2. Have you applied for any grants this month?
    3. Are you currently preparing to apply for any grants?

    Check all that apply

15. If you checked any boxes, please provide details below:

    This could include grant names, links, proposed plans, summary documents, reports, etc. 

17. Grant Related Documents

    You can used this to upload any supporting documents.

19. Tell us what you are excited about this month:*

    This is where you can highlight accomplishments, upcoming events, and anything else you'd like to share about your department.

21. Please describe challenges in your department:*

    These can be new or ongoing challenges; i.e. monetary, capacity, staffing, etc.

23. Do you have any suggested solutions?*
25. Please note any staffing changes this month:*

    This would include new hires, promotions, voluntary and involuntary employee attrition. 

27. What is your wishlist of wants and needs?

    Use this space to identify and wants or needs of your department.

29. Please provide a fun fact about your department:

    Could be historical or a statistic or anything else that would be an fact to share about your department.

31. Please provide any additional information that you would like to share with the CAO at this time:
33. Please upload all department newsletters for this month here:
34. Please upload any additional supporting documents here:
36. Share pictures here:

    We'd love to see pictures representing your department (staff, events, etc.).

38. Recipe of the Month

    Share a fun recipe from your department.

Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field