Division of Human Resources
MERIT AWARD SUBMISSION FORM
TEAM ACHIEVEMENT BONUS
Professional services (non-academic/non-research) staff: Grades 1-9
Department:
PERSONAL DETAILS
Name
Employee
Number
Job title
Employee 1
Employee 2
Employee 3
Employee 4
Are the above posts externally funded?
Yes / No
(Please delete as appropriate)
If the above posts are externally funded, has the funding body agreed to
finance the awards if they are approved?
Yes / No
(Please delete as appropriate)


If the funding body have agreed to finance the merit award, please attach the letter/statement of support.
If the funding body have not agreed to finance the award, please contact them as soon as possible to clarify
whether they would be willing to cover this cost.
Date of
appointment
Date appointed to
current post
Current Grade and
spine point
Current salary
Employee 1
Employee 2
Employee 3
Employee 4
Has this team previously received a merit award? Yes / No
If so, please give details below:
SUBMISSION DETAILS
Please delete as appropriate:
1. This is a departmental team submission
Y/N
This is a self-initiated team submission
Y/N
2. Please indicate the number of bonus units requested in total:
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Division of Human Resources
3. Names of senior staff
consulted in connection with
this submission:
REASONS FOR NOMINATION
This section should be completed by:



The Head of Division or nominee for professional services staff in Corporate Services divisions
The Director of Administration or nominee for professional services staff in colleges
The Head of Department or nominee for staff based in academic departments and not reporting
to the Director of Administration
For self-initiated cases, the Director of Administration/Head of Division/Department (or nominee) must
add a statement at the end of the candidate’s assessment indicating whether or not they are
supportive of the case.
4.
5.
Brief summary of the team’s key responsibilities:
Additional hours and acting up payment:
(a) If the submission refers to additional hours worked, how was this work rewarded at the time?
Time off in lieu / payment / unpaid (please delete as appropriate)
(b) Have the employees received any acting up payment(s) in the relevant period? Yes / No
Please give details of any additional payments made to the employees.
6.
Please give details of the team’s achievements and how they match the criteria for an award in no
more than 350 words.
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Division of Human Resources
7.
For self-initiated submissions: statement from Director of Administration/Head of
Division/Department (or nominee), indicating whether they support the case:
8.
SIGNATURES (electronic/typed signatures are acceptable for electronic submissions)
Employee signatures:
Employee 1
Signature:
Date:
Print name:
Employee 2
Signature:
Date:
Print name:
Employee 3
Signature:
Date:
Print name:
Employee 4
Signature:
Date:
Print name:
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Division of Human Resources
Director of
Administration/Head of
Department/Division’s
signature:
Date:
Print name:
Self-initiated submissions:
Please note that there is no separate deadline for self-initiated submissions. If you are nominating yourself for a
merit award, you must submit your application to the Director of Administration/Head of Department/Division at
least 2 weeks’ prior to the submission deadline. You are advised to discuss this with your Director of
Administration/Head of Department/Division in advance.
Please return this form electronically to committees@le.ac.uk by the deadline indicated
below:
Grades 6-9
Grades 1-5
15 May 2015
29 May 2015
Late submissions and submissions without appropriate signatures will not be accepted.
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