Employee Recognition Program Nomination Form

Employee Recognition Nomination Form

Instructions

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

2nd – Enter the name of the person you are nominating and the additional information.

3rd – Describe the action or behavior you are recognizing in detail. Higher level awards require financial justification. Example “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 and quantified benefit to Hudson. Requires CEO approval.

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.

Application

Nominee Name:*
First Last
Nominee Location:*
Nominee Supervisor Name:*
Submitter Name:*
First Last
Submitter Location:*
Nomination Date:*
Award Level:*
Target Award Level ($):*
Brief Description (1-2 Sentence):*
Full Description:*