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Employee of the Month Form Template

Enhance Recognition and Team Morale with This Form

Recognizing outstanding employees can be tough without a structured approach. This Employee of the Month form template helps HR teams and managers streamline the nomination process and ensure fair evaluations. With clear criteria for nominations, an easy-to-complete layout, and options for anonymous submissions, you can effectively highlight achievements, boost morale, and encourage healthy competition among staff members. Explore this live template to start transforming your recognition program today.

Award month
Nominee full name
Job title
Department or team
Work location
Is the nominee a current employee?
Yes
No
Has the nominee received Employee of the Month in the past 12 months?
Yes
No
Not sure
Summary of the nominee's outstanding contributions during this period
Primary impact area for this nomination
Customer service
Quality and excellence
Teamwork and collaboration
Leadership
Innovation and improvement
Safety and compliance
Community and culture
Not applicable
Other
Please Specify:
Quality of work
Poor
Fair
Good
Very good
Excellent
Not applicable
Initiative and problem solving
Poor
Fair
Good
Very good
Excellent
Not applicable
Teamwork and collaboration
Poor
Fair
Good
Very good
Excellent
Not applicable
Customer focus
Poor
Fair
Good
Very good
Excellent
Not applicable
Reliability and accountability
Poor
Fair
Good
Very good
Excellent
Not applicable
Leadership (if applicable)
Poor
Fair
Good
Very good
Excellent
Not applicable
Measurable results or concrete examples
Links to supporting evidence (e.g., files, posts, dashboards)
Recognition received during this period
Client praise
Peer kudos
Manager commendation
Awards or badges
Positive customer reviews
None of the above
Other
Please Specify:
Your full name
Your relationship to the nominee
Direct manager
Indirect manager
Peer/colleague
Direct report
Cross-functional partner
HR
Self-nomination
Other
Please Specify:
Your email
Your phone (optional)
May we contact you for clarification if needed?
Yes
No
Submission date
Additional comments
I confirm the information provided is accurate and complies with the program rules
Yes
No
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Paper art illustration depicting an employee of the month form template for FormCreatorAI article

When to use this form

Use this template when you want a fast, fair way to gather monthly nominations from managers and peers. It works well for retail stores tracking standout customer service, hospitals recognizing teamwork on a tough shift, or remote teams calling out behind-the-scenes problem solvers. You collect clear examples, tie them to criteria, and make it easy for reviewers to compare entries. If your program runs quarterly, point people to the Employee of the quarter voting form to avoid overlap. For broader recognition beyond one role or department, you can centralize submissions with the Employee nomination form and keep this monthly form focused on timely wins.

Must Ask Employee of the Month Questions

  1. What specific achievement did the nominee accomplish this month?

    Concrete, time-bound results prevent vague praise and speed up review. This mirrors how the Teacher of the year nomination form highlights measurable impact.

  2. How did this work advance team or company goals?

    Tying the story to goals shows real business value. It helps judges compare entries on outcomes, not popularity.

  3. Which core value or competency did the nominee demonstrate?

    This anchors recognition to your culture and expectations. It also standardizes scoring across departments.

  4. Who can verify this contribution (manager, peer, or customer), and how can we contact them?

    Verification adds accountability and reduces bias. Quick contact details let reviewers confirm facts without slowing decisions.

  5. What ongoing impact will this contribution have beyond this month?

    This separates one-off wins from lasting improvements. It is useful for tie-breakers and future awards.

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