STAGECOACH CHAMPIONS AWARDS 2016 – Nomination form Please Note: Entries must be received by midnight on Friday 27 May 2016 To nominate, please answer the following questions: 1) Who are you nominating? Note – if you are a customer nominating a member of staff whose name you don’t know, please provide some information below to help us identify the employee concerned: 2) Please specify below which category you are nominating this person for? Safety / Environment / Community / Health / Customer Service / Innovation 3) What is their job title? 4) Where are they based? 5) What is their telephone number? 6) Which Stagecoach company do they work for? (please delete as appropriate) Group Headquarters / UK Bus / South West Trains-Network Rail Alliance / East Midlands Trains / Sheffield Supertram / USA / Canada 7) Please fully explain your reasons for nominating this person (please give specific examples/evidence of good practice where possible – these are essential to give your nominee the best possible chance of winning): Please also complete the following information: Your name: Are you a customer or Stagecoach employee? Your email address: Your telephone number: If you are a Stagecoach employee, please provide your job title: Closing Date – Midnight, Friday 27 May 2016 Please return nominations by email to champions@stagecoachgroup.com or by post to Lindsay Reid, Senior Group Communications Manager, Stagecoach Group, 10 Dunkeld Road, PERTH, PH1 5TW