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DE&I Champion Recognition Nomination Form

A DE&I Champion Recognition Nomination Form for nominating employees who model inclusive behaviors, amplify quieter voices, and strengthen belonging. Use it to capture clear examples, context, and consent in one place.

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Overview

This DE&I Champion Recognition Nomination Form is built for organizations that want a consistent way to recognize employees who create belonging, amplify quieter voices, and model inclusive behavior. It gives nominators a structured place to identify the nominee, explain the relationship, describe the behavior observed, and connect that behavior to the recognition criteria.

Use this template when you need more than a free-text nomination email. The form works well for recurring recognition programs, ERG awards, manager-led spot recognition, or committee-reviewed nominations where reviewers need comparable submissions. The structure supports progressive disclosure: start with the nominee and nominator details, then collect examples and impact, then finish with consent and submission certification.

Do not use this form as a general performance review, complaint intake, or investigation tool. It is not designed to collect broad employee feedback, sensitive allegations, or unnecessary PII. Keep the fields focused on the inclusive behavior being recognized, and use conditional logic or optional fields if your program has different award tracks. A common pitfall is asking for too much narrative detail or making every field required, which lowers completion rates and creates avoidable privacy risk. A clear submission confirmation line should explain what happens after the nomination is sent and whether the nominee will be contacted.

Standards & compliance context

  • Use data minimization by collecting only the nominee and nomination details needed to evaluate the recognition request.
  • If the form includes any PII, include consent language and explain how the information will be used, stored, and shared.
  • If nominators can submit anonymously, make that option explicit and ensure the workflow preserves the chosen privacy setting.
  • For public-facing recognition, review the content for accessibility and clarity so it aligns with WCAG 2.1 AA expectations.
  • If the form is used in HR workflows, keep the language separate from disciplinary or investigative processes to avoid confusion.

General regulatory context for orientation only — verify current requirements with counsel or the relevant agency before relying on this template for compliance.

What's inside this template

Nomination Overview

This section identifies who is being nominated, for what period, and under which recognition program so reviewers can quickly place the submission in context.

  • Nomination title (required)
  • Nominee name (required)
  • Nominee department
  • Nominee role or title
  • Nomination period (required)

Nominator Information

This section captures who is submitting the nomination and how they know the nominee, which helps reviewers assess the credibility and perspective of the example.

  • Your name (required)
  • Your work email (required)
  • Relationship to nominee (required)
  • I consent to the review team contacting me for clarification about this nomination (required)

Inclusive Behaviors

This section is the core of the form because it records the specific inclusive actions that justify recognition.

  • Which inclusive behaviors did the nominee demonstrate? (required)
  • Specific examples of inclusive behavior (required)
  • What was the impact on the team or workplace? (required)

Recognition Criteria

This section ties the nomination to your program standards so reviewers can evaluate submissions consistently instead of relying on vague praise.

  • Why should this employee be recognized? (required)
  • Additional context or accomplishments

Submission and Consent

This section clarifies privacy, contact permission, and submitter certification so the process is transparent and easier to administer.

  • I understand this form collects limited PII for recognition review and follow-up, and I consent to its use for that purpose only. (required)
  • I certify that the information provided is accurate to the best of my knowledge. (required)
  • Optional notes for the review committee

How to use this template

  1. 1. Set the nomination title, recognition period, and criteria so the form matches the specific award or program you are running.
  2. 2. Collect the nominee's name, department, and role, and keep those fields limited to what reviewers need to identify the employee.
  3. 3. Ask the nominator for their name, email, and relationship to the nominee so reviewers can understand the context of the submission.
  4. 4. Prompt for one or two concrete inclusive behaviors, then use the behavior examples and impact description fields to capture what happened and why it mattered.
  5. 5. Review the consent fields before submission, confirm whether the nominator agrees to be contacted, and state what happens after the form is sent.
  6. 6. Route approved nominations to HR, a DE&I committee, or the recognition owner, then record the decision and any follow-up in your internal process.

Best practices

  • Keep the nomination period specific so reviewers can tell whether the behavior was recent, sustained, or tied to a single initiative.
  • Use short, behavior-based prompts instead of open-ended praise so nominators describe observable actions rather than vague compliments.
  • Mark required fields clearly and leave nonessential context optional to reduce friction and support data minimization.
  • Add conditional logic if your program has different recognition tracks, such as peer awards, manager nominations, or ERG nominations.
  • Include a clear statement about what happens after submission, especially if the nominee or a review panel will be contacted.
  • Avoid collecting sensitive personal details in the impact description unless they are necessary to evaluate the nomination.
  • If nominations may be shared publicly, separate internal review notes from public-facing recognition copy.

What this template typically catches

Issues teams running this template most often surface in practice:

The nomination describes a general nice-to-have attitude but gives no concrete inclusive behavior.
The form collects too much personal detail in free text, including unnecessary PII.
Nominators leave the impact description blank or repeat the same praise from the behavior field.
The recognition criteria are too broad, making it hard to compare nominations consistently.
The form does not explain whether the nominee will be contacted after submission.
Required fields are overused, which discourages peer participation and lowers completion quality.
The nomination period is missing, so reviewers cannot tell when the behavior occurred.

Common use cases

HR recognition program review
An HR team uses the form to collect standardized nominations for quarterly DE&I awards. The structured fields make it easier to compare submissions and document why each nominee met the recognition criteria.
ERG-led belonging award
An employee resource group uses the template to gather nominations from members who saw someone create a more inclusive meeting, event, or onboarding experience. The form keeps the focus on observable behavior and impact.
Manager-submitted peer recognition
A manager submits a nomination after seeing a team member consistently amplify quieter voices and support inclusive collaboration. The relationship-to-nominee field helps reviewers understand the manager's perspective.
Company values award with public announcement
A communications or people team uses the form to gather nomination details that can later be adapted into a public recognition post. The consent fields help separate internal review from external or company-wide sharing.

Frequently asked questions

What is this nomination form used for?

This form is used to nominate an employee for DE&I recognition based on observed inclusive behaviors, not general performance. It captures who the nominee is, what they did, why it mattered, and any supporting context. That makes it easier for HR or a recognition committee to review nominations consistently.

Who should submit a DE&I Champion nomination?

Managers, peers, employee resource group leaders, and cross-functional partners can submit nominations when they have direct examples to share. The best nominations come from people who have seen the nominee create space for others, reduce barriers, or improve belonging in a specific situation. If the form is used broadly, keep the relationship-to-nominee field so reviewers can weigh the perspective.

How often should this form be used?

Use it on a rolling basis if your recognition program accepts ongoing nominations, or on a set cadence such as quarterly or monthly if awards are reviewed in cycles. The nomination_period field helps reviewers understand whether the behavior was recent, sustained, or tied to a specific initiative. If you run a campaign-based program, align the form with that window.

What should count as a strong nomination?

A strong nomination includes a concrete inclusive behavior, a real example, and a clear description of impact. For example, it might show how someone invited quieter voices into a meeting, adjusted a process to reduce exclusion, or supported a colleague through a reasonable accommodation conversation. Vague praise without evidence is harder to evaluate.

Does this form collect sensitive information?

It can, so the form should use data minimization and only collect what is needed to review the nomination. Avoid unnecessary PII in free-text fields, and include consent language if the nomination may be shared with the nominee or a review panel. If your process allows anonymous submission, make that option explicit.

Can this be customized for different recognition programs?

Yes. You can tailor the recognition criteria, nomination period, and behavior examples to match your company values or ERG goals. Some organizations add conditional logic for leadership nominations, team-based recognition, or location-specific programs. Keep the fields focused so the form stays easy to complete.

What happens after someone submits the nomination?

The form should state what happens after submission, such as review by HR, a DE&I committee, or a manager panel. That confirmation helps set expectations and reduces follow-up questions. If the nominee will be contacted, the consent_to_contact field should make that clear before submission.

How is this different from an ad-hoc email nomination?

An ad-hoc email usually leaves reviewers with inconsistent detail, missing context, and no standard consent language. This template creates a repeatable structure for the same information every time, which makes comparison easier and supports a clearer audit trail. It also helps nominators think through behavior, impact, and criteria before submitting.

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