Employee Recognition Program: Nomination Form

Instructions

1. Use the table below to determine which award level you are applying for.

2. Enter the name of the person you are nominating and fill in all required fields.

3. Describe the action or behavior you are recognizing in detail. Higher level awards require financial justification.
Ex. “In January, John Smith saved the company $1,000 by identifying unnecessary process steps in hydrostatic testing”.

Award Levels

Emerald | $500 -$1,000

Recognizing outstanding behavior. Requires CEO approval.
Note: If you are unable to quantify the benefit to Hudson, please consider nominating the employee for the Gold or Silver Award.

Gold | $100 – $500

Manager initiated award to recognize extraordinary effort or initiative in performance of responsibilities.

Silver | $50 – $100

Peer-to-Peer recognition for someone ‘caught in the act’ going above and beyond or modeling good behaviors for others.

Nominee Name:*
First Last
Nominee Location:*
Nominee Supervisor Name:*
Submitter Name:*
First Last
Submitter Location:*
Nomination Date:*
MM slash DD slash YYYY
Award Level:*
Target Award Level ($):*

This amount is subject to change at the discretion of the approvers
Brief Description (1-2 Sentences):*
Full Description (3-5 Sentences):*
Additional Files
Max. file size: 50 MB.