Innovation Champion Recognition Nomination Form

A values-based nomination form for recognizing employees who introduce new ideas, improve processes, or solve problems creatively, with space to capture a concrete example and measurable impact.

Nominee Information

• Nominee full name
• Nominee department
• Nominee job title

Innovation Summary

• Short title for the innovation
• Type of innovation
• Describe the innovation
  Include a concrete example of what the employee did, how it was implemented, and what made it creative or effective.
• What problem or opportunity did this address?

Impact and Results

• Describe the impact
• Primary impact area
• Measurable results or evidence
  Examples: time saved, errors reduced, cycle time improved, customer satisfaction increased, or other observable outcomes.
• When was the impact observed?

Recognition Recommendation

• Why should this employee be recognized?
• Values demonstrated
• Suggested recognition level

Submitter Information

• Your name
• Your work email
• Your relationship to the nominee