8 NOMINATION FORM

If you would like to nominate someone more than once, please use a separate form for each nomination.
Nominations must be received by the Brookes People Awards Team by 30 March 2018.
If you have any questions on the nominations, please email the Brookes People Awards Team on recognitionawards@
brookes.ac.uk. Please return completed hard copy forms to 5.31 Tonge Building, Headington Campus, OX3 0BP
Please answer the following questions to make your nomination.

Information about you:

Your full name __________________________________________________________________________________________

Your job title____________________________________________________________________________________________
Your email address ______________________________________________________________________________________
Your telephone number __________________________________________________________________________________
Your Faculty/Directorate/Department ______________________________________________________________________
Do you wish to remain anonymous?* Yes No
Do you require us to check with you before using the
text of your nomination in promotional materials? Yes No

Information about the individual/team you are nominating:

Are you nominating a team or individual? ___________________________________________________________________

What is the name of the individual or team you wish to nominate?
______________________________________________________________________________________________________
If you are nominating a team for an award, please provide the name of the team lead and list all members of the team.
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
Please tell us the line manager of the individual or team you are nominating and their Faculty/Directorate.
______________________________________________________________________________________________________
For which award are you nominating the team / individual for? [please tick the relevant box]
Generosity of spirit (Team AND Individual) Colleague of the year (Individual only)
Connectedness (Team AND Individual) Team of the year (Team only)
Confidence (Team AND Individual) The Brookes Award (Team OR Individual)
Enterprising creativity (Team AND Individual)

If you would like to nominate someone more than once, please use a separate form for each nomination.
continued overleaf
*We understand some colleagues may prefer anonymity at the early stages of the process, but if your nomination is long-listed
we will contact you to ask if this can be waived in the interests of the promotion of your nomination.
Nomination guidance: Examples provided should be from evidence since 1 April 2016. Please be as specific as possible,
using clear and detailed examples. The judging process depends on clear examples of the particular award criteria in
practice, and as the judging panels are drawn from across the University, examples need to be understandable and jargon /
acronym free.

In no more than 50 words, sum up why your nomination merits an award:

In no more than 450 words, please provide specific examples of times when they have demonstrated the guiding
principles and/or the criteria (as appropriate to the award category):

Please provide any further information here:

6874_CSLE_11/17

Any supporting documentation can also be emailed to: recognitionawards@brookes.ac.uk.

Guidance and example nomination forms are available on www.brookes.ac.uk/staff-recognition.