Division of Human Resources
MERIT AWARD SUBMISSION FORM
Professional Services (non-academic/non-research) staff: Grades 1-9
PERSONAL DETAILS
Name:
Job title:
Employee
Number:
Department:
Is the post externally funded?
Yes / No
(Please delete as appropriate)
If the post is externally funded, has the funding
body agreed to finance the award if it is
approved? (Please delete as appropriate)


Yes / No
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:
Date employee reached
top of grade: (if relevant)
Date employee last
received a merit award
(if relevant):
SUBMISSION DETAILS
Please delete as appropriate:
1. This is a departmental submission
Y/N
This is a self-initiated submission
Y/N
2. This submission is for the award of (please indicate number of units requested):
Increment
Achievement bonus
3. Names of senior staff
consulted in connection with
this submission:
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Date of Issue: 21/01/2015
Division of Human Resources
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. Brief summary of employee’s key responsibilities:
5.
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 / overtime payment / unpaid (please delete as appropriate)
(b) Has the employee received any acting up payment(s) in the relevant period? Yes / No
Please give details of any additional payments made to the employee.
6.
Please give details of the employee’s achievements and how they match the criteria for an award
in no more than 350 words.
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Date of Issue: 21/01/2015
Division of Human Resources
7.
8.
For self-initiated submissions: statement from Director of Administration/Head
Division/Department (or nominee), indicating whether they support the case:
of
SIGNATURES (electronic/typed signatures are acceptable for electronic submissions)
Employee’s signature:
Date:
Director of Administration/Head
of Department/Division’s
signature:
Date:
Print name:
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Date of Issue: 21/01/2015
Division of Human Resources
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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Date of Issue: 21/01/2015