nomination form: INNOVATION & CREATIVITY
Description
The purpose of the INNOVATION and CREATIVITY award is to recognize and reward
employees who introduce ideas, services or practices in new and creative ways. These
individuals contribute innovative solutions to their organization or make major
improvements to agency operations or services provided.
Traits of Ideal Candidates
 Introduce ideas that increase revenue, reduce costs or improve service
 Enhance efficiency, accuracy or productivity in innovative ways
 Contribute creative ideas to address issues within the scope of their job and organization
 Introduce changes to simplify or improve existing processes
 Challenge existing assumptions and think outside the box
 Take calculated risks in pursuit of continuous improvement
 Work with others to promote, implement and adjust solutions to changing situations
How to Submit
 Nomination forms must be submitted by email (awards@unitedwaypeel.org) no later
than Friday, May 22, 2015 at 5 p.m.
 Remember: Winners are determined solely on this nomination form. Please be as
specific as possible when describing projects/accomplishments
How the Award Works
 Employees may nominate their peers but downward nominations are not accepted
 No self-nomination or nomination of family members
 All information will be verified by the nominee’s supervisor
 Achievements must occur during the time period from January 2014 to December 2014
Nominee Information
First and Last name:
Title:
Program, project, department or initiative:
E-mail:
Phone:
Agency Name
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First Nominator
Second Nominator (Optional)
First and Last name:
First and Last name:
E-mail:
E-mail:
Phone:
Phone:
Nominee’s Supervisor
First and Last name:
E-mail:
Phone:
Please select the THREE qualities that best describe the accomplishments of the
nominee.
Introduce ideas that increase revenue, reduce costs or improve service
Increase efficiency, accuracy, or productivity in innovative ways
Contribute creative ideas to address issues within the scope of their job, department, or
organization
Introduce changes to simplify or improve existing processes
Challenge existing assumptions and think outside the box
Take calculated risks in pursuit of continuous improvement
Work with others to promote, implement, and adjust solutions to changing situations
Provide a specific example for each of the three qualities selected that clearly illustrates
why it applies. (150 words maximum)
Please share a story and/or project that clearly demonstrate the individual’s exceptional
innovation and creativity, as well as the positive impact or outcome for the community.
(250 words maximum)
Thank you!
An email will be sent to the primary nominator to confirm that the submission form was received.
All nominations will be reviewed by a selection panel. Award winners will be announced and
recognized during our Annual General Meeting on June 23, 2015.
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