West Sussex Leaders & Hampshire Own Grown
Nomination Form
Paper (Draft) version 2014
Note: WSCC staff only
Section 1 – Personal Details
Applicant Name:
Applicant E-Mail Address:
Personnel Number:
Applicant Department:
Applicant Current Role Title:
How many years has applicant
worked for WSCC?
Please select the grade
at which the applicant is
currently working:
Please select which
programme you are
applying for:
Aspiring Leaders
/ Future Leaders
(NJC grades 9-12) / (Hay grades A, B and C)
Line Manager Name:
Line Manager E-Mail Address:
Section 2 –Supporting Answers- Applicant
1 a. Please state your reasons for applying for the West Sussex Leaders &
Hampshire Own Grown programme - What are you seeking to develop and
why? How will this programme support you to really make a difference in your
current and future roles? How will it complement the development you currently
undertake?
(150 word limit)
Why is this programme an appropriate development opportunity for you? How will this help you
develop personally? How will the programme help you to support departmental and
organisational priorities? What do you hope to achieve?
1 b. We are passionate about developing talent within the organisation. Please
specify how the Hampshire Own Grown programme fits with your own
aspirations and passions. How does it fit with your annual performance targets
or goals, your development plan, and departmental and organisational priorities?
(150 word limit)
Hampshire Own Grown Draft Nomination 2014 (WSCC only)
West Sussex Leaders & Hampshire Own Grown
Nomination Form
Paper (Draft) version 2014
Note: WSCC staff only
Make links between your PDR objectives, departmental objectives, organisational objectives
and those of the programme. How will this programme help meet those objectives?
2. Please provide evidence of how your current work delivers high quality
outcomes that are having a real impact on departmental and organisational
priorities (we are seeking evidence of current high performance)
(250 word limit)
Give recent examples of how you have achieved this. Explain the situation, the staff involved,
what you did and what the outcome was. How did you measure the outcome against
departmental and corporate priorities? How did you demonstrate Political awareness?
3. Please provide evidence of how you have demonstrated effective leadershipeither with peers, stakeholders, or of a team or project. How would you describe
your leadership style? What do you need to improve in this area? (we are
seeking evidence of the competency cluster: Courage and resilience)
(250 word limit)
Give a recent example of how you have demonstrated leadership. What was the situation? What
did you do? What was the outcome? What barriers did you need to overcome?
4. Please provide evidence of where you have sought and implemented service
and business opportunities to improve the customer/service user experience (we
are seeking evidence of the competency cluster: Community engagement)
(250 word limit)
Provide an example of the service or business opportunity and how you went about this. What
consideration did you make to ensure this was right for your department and the organisation?
Who was your main customer/stakeholder, and how did you ensure you understood and met
their needs?
5. Please provide evidence of where you have taken personal responsibility and
driven an idea forward with energy and enthusiasm in order to improve
outcomes (we are seeking evidence of the competency cluster: Entrepreneurial
drive)
(250 word limit)
What was the situation and who was involved? How did you demonstrate responsibility and
drive? What was the outcome?
6. The organisation values innovative and creative thinking that challenges the
status quo. Please provide evidence of how you have demonstrated creative
thinking / innovative practice to improve service delivery (we are seeking
evidence of the competency cluster: Innovative strategic thinking)
(250 word limit)
Hampshire Own Grown Draft Nomination 2014 (WSCC only)
West Sussex Leaders & Hampshire Own Grown
Nomination Form
Paper (Draft) version 2014
Note: WSCC staff only
Describe the situation, what did you do to improve the service?
How did you implement the improvement? How did you listen and engage with customers and
stakeholders? What was the outcome?
7. Please give an example where you have proactively shared knowledge and
inspired others to learn (we are seeking evidence of the competency cluster:
Building alignment)
(250 word limit)
Who was involved? What was your motivation for your actions? What was the outcome?
8.Please include a statement from a colleague (other than your line manager),
direct report, or a customer as evidence of how you work with others, particularly
how you:
Are able to see things from others’ perspectives and to compromise to create
win-win solutions
Manage relationships and partnerships for the long term; e.g. sharing
information, building trust, constructively and openly tackling conflict.
Name of person making statement_________________
Role/ how you work with the applicant_______________
Hampshire Own Grown Draft Nomination 2014 (WSCC only)
West Sussex Leaders & Hampshire Own Grown
Nomination Form
Paper (Draft) version 2014
Note: WSCC staff only
Section 3 – Manager’s Statement
Please use this box to demonstrate your support for this nomination, reinforce
the evidence provided and make any further comments. What in particular is it
about the applicant that leads you to think that they have the potential to lead the
organisation to a thriving future?
Please enter the latest full year PDR rating (1-5) for the employee
Please rate the suitability of your staff member for this programme based on the
Leadership Potential Ratings
(1 - 4) *
* 1 – Low suitability or capable yet progression not desired- note there is an expectation that
where an application is not supported by the line manager, that this should have been
discussed with the individual in advance
2 – Low Potential (limited aspiration, needs external motivation/direction from time to time)
3 – Medium Potential (motivated and committed, curious and eager to learn, confidently
takes decisions)
4 – High Potential (Highly self motivated, proactively seeks out opportunities and feedback,
innate understanding of self and others)
Please rate your ability to actively support the participant to get the most from the programme
(see manager time commitments on the website)
(1 - 4) *
* 1 – Little ability to support - note there is an expectation that contingency plans need to be
put in place if the line manager has little ability to support. e.g. finding a mentor for the
applicant
2 – Some ability to support, with careful planning
3 – Good ability to support – no problems anticipated
4 – Excellent ability to support – plans in place to support participant
Section 4
Hampshire Own Grown Draft Nomination 2014 (WSCC only)
West Sussex Leaders & Hampshire Own Grown
Nomination Form
Paper (Draft) version 2014
Note: WSCC staff only
I acknowledge that entry onto the programme is a competitive process and that
my application may not be successful.
I understand that I should not book annual leave on the programme dates
specified on the Hampshire Own Grown website.
Signed (Applicant, please type your name here):……………………………….
Hampshire Own Grown Draft Nomination 2014 (WSCC only)