LEAN SIX SIGMA GREEN BELT APPLICATION -...

City of Dallas

Center for Performance Excellence

1500 Marilla St., 1AN

Dallas, TX 75201

Office: (214) 671-9148 or (214) 243-2150

Fax: 214-659-7079

LEAN SIX SIGMA GREEN BELT APPLICATION

This Lean Six Sigma (LSS) Green Belt form must be 1) submitted to your Director for approval, and 2) received by the Center for Performance Excellence (CPE) no later than Monday, January 8, 2018. (Email to joseph.kunnath@dallascityhall.com and brandon.johnson@dallascityhall.com)

Employee Name Department

Job TitleYears of Service

Supervisor Department Director

Phone Number E-mail @dallascityhall.com

Education Level (Check One) High School/GED Associate's Bachelor's Master's

What is your definition of innovation? What does innovation mean to you? (500-character limit)

How do you envision using the skills that you will gain from your Lean Six Sigma experience? (500-character limit)

What process improvement project(s) would you like to implement in your work area? (500-character limit)

Is there any additional information you would like for the selection committee to consider regarding theproposal for the project you have chosen? (Add a page if necessary)

Employee Signature _______________________________Date __________________________

Supervisor's Signature* _____________________________Date __________________________

Department Director's Signature* _________________________Date ____________________________

*By signing this document, you recommend the employee to be a part of the program.

214-243-2150 or 214-671-9148