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Employee of the Month Nomination Form Template

Streamline Your Employee Recognition Process with This Template

Nominating a deserving employee can be a challenge when you want to ensure recognition efforts are clear and fair. This employee of the month nomination form template is designed for managers and team leaders who want to celebrate outstanding contributions and boost workplace morale. By simplifying the nomination process, this template helps gather essential feedback, ensures transparency in recognition, and encourages team engagement-all while being fully customizable to fit your specific criteria. Experience a smoother way to highlight your top performers with this template.

Use this Template (FREE) Live Preview
Nominee full name
Department or team
Job title or role
Month of contribution
Your full name
Your email
Your department or team (optional)
Relationship to the nominee
Manager/supervisor
Peer/colleague
Direct report
Cross-functional partner
Customer/client
Self
Prefer not to say
Other
Please Specify:
Primary award category
Why are you nominating this employee?
Provide 1-2 specific examples of what they did and the impact
Which core values did the nominee exemplify?
Please Specify:
What outcomes were achieved?
Please Specify:
Overall impact of the nominee's contributions
Poor
Below average
Average
Good
Exceptional
How often did the nominee demonstrate these behaviors during the period?
Very rarely
Rarely
Sometimes
Often
Very often
Link to supporting evidence or public recognition (optional)
Are you willing to be contacted for follow-up details if needed?
Yes
No
I confirm the information provided is accurate and complies with the program guidelines
True
False
Signature: type your full name
Signature date
May we share your nomination text with the nominee and leadership?
Yes
No
{"name":"Nominee full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Nominee full name, Department or team, Job title or role","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
paper art illustration featuring an employee of the month nomination form template layout with visual design elements

When to use this form

Use this form when you run a monthly recognition program and want fair, consistent nominations across teams. It helps managers, peers, and customers share specific actions and impact, so you can compare submissions and spotlight true top performers. HR and committee leads get structured details to verify eligibility, check criteria, and communicate results without email back-and-forth. It works for in-office, remote, and shift-based teams, from retail floors to call centers and clinics. If you also manage company awards, your process can mirror the Award entry form to keep judging consistent. For organizations that elect committee or leadership roles, the Board nomination form shows how a similar workflow supports transparent selection.

Must Ask Employee of the Month Nomination Questions

  1. Who are you nominating?

    This identifies the exact person, avoids name confusion, and speeds eligibility checks. Asking for department and role mirrors the structured fields you might use in the Board member information form, which keeps records clean.

  2. What did they do that deserves recognition?

    Specific examples reduce vague praise and reveal behaviors you want to reward. Concrete stories help reviewers compare entries and coach others.

  3. What measurable impact did their actions have?

    Impact metrics (revenue, CSAT, time saved, errors reduced) show results, not just effort. Numbers make decisions fair and defensible.

  4. When did this work occur?

    Timing confirms the achievement falls within the current cycle. It also helps track momentum across months without double-counting.

  5. What is your relationship to the nominee, and who can verify this nomination?

    Relationship and a verifier add context and accountability. It also gives HR a quick contact to confirm details before announcing the winner.

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