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Employee Nomination Form Template

Streamline Employee Recognition with a Simple Nomination Form

Finding the right way to acknowledge employee achievements can be challenging. This Employee Nomination Form Template helps you gather essential information to recognize outstanding contributions, ensuring a smooth and transparent nomination process. With this template, you can effortlessly encourage peer nominations, maintain a structured record for awards, and increase engagement in your recognition programs. Plus, it's designed to be WCAG-aligned, making it accessible for all team members. Explore how easy it is to boost motivation and morale with a well-structured nomination form.

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Your full name
Your email
Your phone number
If Other, please specify your relationship
Your relationship to the nominee
Supervisor/Manager
Peer/Colleague
Direct report
Cross-functional partner
Customer/Client
HR/People team
Other
Please Specify:
Nominee full name
Nominee email
Department or team
Job title or role
Work location or site
Nomination type
Individual
Team
If this is a team nomination, list the team members (names and roles)
Award category
Please Specify:
If Other, specify the award category
Approximate date or period of the contribution
Has the nominee received this award in the past 12 months?
Yes
No
I confirm the nominee is currently employed by the organization
Yes
No
Short summary of the nomination (1-2 sentences)
Describe what the nominee did and why it was outstanding
Select the impact areas that apply
Please Specify:
If Other impact area, please specify
Provide measurable results or specific examples (metrics, outcomes, feedback)
The nominee exemplifies our company values
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Overall quality of the achievement
Poor
Fair
Good
Very good
Excellent
May we share your nomination with the nominee and leadership?
Yes
No
May we contact you for more information if needed?
Yes
No
Conflict of interest status
No conflict of interest
Potential conflict (describe below)
Prefer not to say
If there is a potential conflict, please describe
Link to supporting evidence (e.g., document, dashboard, article)
Signature
Date signed
I certify that the information provided is accurate to the best of my knowledge
Yes
No
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Paper art illustration featuring an employee nomination form for FormCreatorAI article.

When to use this form

Use this form to collect peer or manager nominations for monthly shout-outs, quarterly awards, or spot bonuses. It fits teams that want clear examples, like a customer save, a safety fix, or a project delivered early. HR and program leads get consistent data, reviewer routing, and an audit trail for fair picks. You can set deadlines, track status, and export finalists for announcements. If you run a broader program across departments, pair it with the Awards nomination form to capture other categories. For leadership or committee seats, the Board nomination form may suit your process better.

Must Ask Employee Nomination Questions

  1. Who are you nominating (full name, job title, and department)?

    This identifies the right person and prevents duplicates, especially in large teams. Title and department help reviewers verify eligibility and route the entry correctly.

  2. Which award or category does this nomination fit?

    Clear categories let you apply the right criteria and compare like with like. If your program moves from nominations to a vote, align categories with the Employee of the quarter voting form.

  3. What did the nominee do? Include key actions, dates, and measurable results.

    Specific, time-bound examples lead to stronger, verifiable write-ups. Metrics and timelines help judges weigh impact over effort.

  4. Which company value or program criteria does this demonstrate, and how?

    Linking deeds to values or rules keeps decisions fair and consistent. It also makes the win easy to share in announcements.

  5. Who can confirm this nomination (manager or witness), and how can we reach them?

    Endorsements reduce bias and speed verification. A contact person helps reviewers follow up without slowing the timeline.

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