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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 [email protected] and [email protected])
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
