HiPo Nomination Form with Selection Criteria

A structured form for managers to nominate employees for high-potential review using published ability, aspiration, and engagement criteria with required behavioral evidence.

Nominee Information

• Nominee name
• Nominee employee ID
  Optional if your organization uses employee IDs for lookup.
• Current job title
• Department
• Work location

Nomination Context

• Why are you nominating this employee as high potential?
  Summarize the case in 3-5 sentences. Focus on observable performance, growth trajectory, and readiness indicators.
• Time in current role (months)
• Nomination scope
• Development actions already completed
  Select any formal development actions the employee has already completed.

Selection Criteria Assessment

• Ability
  Rate demonstrated capability to perform at a higher level or in broader scope.
• Behavioral evidence for ability
  Provide specific examples of outcomes, complexity handled, decisions made, or scope expanded.
• Aspiration
  Rate the nominee's expressed desire and motivation for broader responsibility and growth.
• Behavioral evidence for aspiration
  Describe observed behaviors that show ambition, learning orientation, and willingness to take on stretch opportunities.
• Engagement
  Rate the nominee's commitment, energy, and sustained engagement in the organization.
• Behavioral evidence for engagement
  Provide examples of ownership, initiative, collaboration, and commitment to team and organizational goals.

Supporting Evidence

• Key achievements supporting this nomination
  List 2-5 achievements with measurable outcomes where possible.
• Achievement details
• Stretch assignments or leadership experiences
  Describe any cross-functional, enterprise, or leadership experiences that demonstrate readiness for broader scope.
• Known risks or development gaps
  Identify any capability gaps, readiness risks, or support needed to succeed in a higher role.

Manager Attestation

• Manager name
• Manager title
• Manager email
• Attestation
• Manager signature