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Integrity Value Recognition Nomination Form

Nominate an employee for integrity recognition with a form that captures the behavior, context, and impact in one place. Use it to document honest decisions, ethical judgment, and the harder right path without collecting unnecessary details.

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Overview

The Integrity Value Recognition Nomination Form is a workplace recognition template for documenting a specific example of honesty, transparency, or ethical decision-making. It captures who was nominated, what happened, what the employee did, how that action aligned to your values, and why the submission deserves recognition.

Use this template when you want nominations to be consistent enough for review, award selection, or a values program archive. It is especially useful when the story matters more than the title of the award: a corrected mistake, a disclosed conflict, an escalated concern, or a decision that protected customers, coworkers, or the company. The structure helps reviewers compare submissions without relying on memory or informal praise.

Do not use this form as a performance review, discipline intake, or complaint form. It is not the right place for detailed investigations, sensitive allegations, or broad employee feedback. Keep the scope to one observable example and collect only the fields needed to evaluate the nomination. If your process allows anonymous submissions, make that choice explicit. If it does not, tell submitters who will see their name and how the nomination will be used after submission.

Standards & compliance context

  • Use data minimization and collect only the nominee and submitter details needed to review and route the recognition.
  • If the form is public-facing or accessible to a broad audience, make the submission flow accessible under WCAG 2.1 AA with clear labels, keyboard navigation, and readable validation messages.
  • If the nomination may mention sensitive workplace issues, include a disclosure that the form is for recognition only and not for reporting misconduct or filing a complaint.
  • If your process allows anonymous submission, explain how identity is handled so submitters understand whether an audit trail will include their name.

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

Nominee Information

This section identifies who is being recognized and helps reviewers route the nomination to the right manager, department, or award category.

  • Nominee name (required)
  • Department or team
  • Role or title

Integrity in Action Example

This section captures the specific incident, the harder-path context, and the result so the nomination is based on observable behavior rather than general praise.

  • Brief summary of the example (required)
  • When did this happen?

    Approximate date is acceptable if the exact date is unknown.

  • What integrity behavior did they demonstrate? (required)
  • Why was this the harder right path? (required)
  • What was the outcome or impact? (required)

Value Alignment and Recognition

This section connects the example to your company values and explains why it deserves recognition in the context of your award program.

  • How does this example reflect our integrity value? (required)
  • Why should this person or team be recognized? (required)
  • Recognition category

Submitter Information

This section records who submitted the nomination and how they relate to the nominee so reviewers can assess credibility and follow up if needed.

  • Your name (required)
  • Your email (required)
  • Your relationship to the nominee

How to use this template

  1. 1. Set up the form with required fields for the nominee, the integrity example, the value alignment, and the submitter, and mark any optional fields clearly.
  2. 2. Add field validation for dates, email addresses, and short text entries so submitters use the right field type instead of free-text workarounds.
  3. 3. Assign the form to managers, peers, or HR reviewers based on your recognition process, and decide whether the submitter’s identity will be visible to reviewers.
  4. 4. Ask the submitter to describe one concrete incident, including the harder-path context, the action taken, and the outcome or impact.
  5. 5. Review nominations on your chosen cadence, compare them against the award category criteria, and record the decision in an audit trail.
  6. 6. Notify the nominee or publish the recognition according to your internal process, and archive the submission for future values-program reference.

Best practices

  • Ask for one specific incident rather than a general praise statement so reviewers can evaluate the nomination on facts.
  • Keep the example summary short and structured, with separate fields for context, behavior, and impact to reduce vague submissions.
  • Use conditional logic if you offer multiple award categories so submitters only see the fields that apply.
  • Mark submitter email as optional only if your process truly supports anonymous or semi-anonymous nominations.
  • Limit personal data to what you need for recognition decisions and avoid collecting unrelated HR details.
  • Write the value alignment prompt in your own company language so submitters can map the story to the right principle.
  • Tell submitters what happens after they click submit, including who reviews the nomination and whether follow-up is expected.

What this template typically catches

Issues teams running this template most often surface in practice:

The nomination is too vague and praises the employee without naming a concrete action.
The harder-path context is missing, so reviewers cannot tell why the decision showed integrity.
The form collects unnecessary personal details that do not help evaluate the nomination.
The value alignment field repeats the same wording for every submission instead of tying the story to a specific value.
The outcome or impact is left blank, making it hard to judge the significance of the action.
The submitter section does not clarify whether the nomination is anonymous or visible to reviewers.

Common use cases

Healthcare compliance team
A nurse, coordinator, or billing specialist reports a mistake, corrects the record, or escalates a concern before it affects a patient or claim. The form helps capture the ethical action without turning the nomination into a clinical incident report.
Financial services branch manager
A teller, advisor, or operations employee refuses to shortcut a process, discloses a conflict, or flags a suspicious request. The template gives leadership a structured way to recognize judgment and protect the integrity of the process.
Retail operations leader
A store associate or supervisor chooses transparency when inventory, refunds, or customer commitments are at risk. The form records the decision, the context, and the business impact for values-based recognition.
Manufacturing site HR partner
A frontline employee speaks up about a safety or quality issue and follows the right escalation path. The nomination captures the behavior as a recognition event, not as a corrective action record.

Frequently asked questions

What is this nomination form used for?

This form is used to nominate an employee who demonstrated integrity, such as honest reporting, transparent communication, or choosing an ethical course of action under pressure. It gives reviewers a consistent way to capture what happened, why it mattered, and how it reflects the organization’s values. Because it focuses on a specific example, it is better than an open-ended praise note or ad-hoc email. It also creates a clearer audit trail for recognition decisions.

Who should submit an integrity nomination?

Any manager, peer, HR partner, or cross-functional teammate who directly observed the behavior can submit a nomination. The strongest submissions come from people who can describe the situation, the harder-path context, and the outcome without relying on hearsay. If your process allows it, a submitter can be a witness to the action rather than the employee’s direct supervisor. That helps broaden recognition beyond manager-only nominations.

How often should this form be used?

Use it whenever a qualifying example occurs, rather than waiting for a quarterly or annual cycle. Some organizations review nominations continuously and batch awards on a monthly or quarterly cadence. The form works well for both real-time recognition and scheduled review meetings because it captures the same core details each time. If your program has a cadence, keep the award category aligned to that schedule.

What should be included in the example summary?

The example summary should briefly describe the situation, the decision the employee made, and the integrity behavior shown. It should be specific enough that a reviewer can understand what happened without extra follow-up. Avoid vague praise like "great attitude" and instead note the concrete action, such as correcting a mistake, escalating a concern, or disclosing a conflict. The best summaries are factual and easy to verify.

Does this form need compliance or privacy language?

Yes, if the nomination may include personal data, sensitive workplace details, or allegations tied to conduct or ethics. Keep data minimization in mind and collect only the fields needed to evaluate the nomination. If the form is public-facing or broadly shared, include a clear note about who will see the submission and what happens after it is sent. If anonymity is allowed in your process, add that option and explain how follow-up works.

What are common mistakes when using this template?

Common mistakes include writing a generic compliment instead of a concrete example, leaving out the harder-path context, and failing to explain the impact. Another issue is over-collecting personal details that are not needed for recognition decisions. Reviewers also run into trouble when the award category is too broad or when the form does not clearly state whether the submitter’s identity is visible. Clear prompts and required-vs-optional fields help avoid these problems.

Can this form be customized for different values programs?

Yes, it can be adapted to match your company’s values language, award tiers, or review workflow. You can rename the value alignment field, add conditional logic for different award categories, or include a manager approval step. Some teams also add a department filter or location field if recognition is reviewed by multiple committees. Keep the form focused on the behavior and impact so customization does not turn it into a generic praise survey.

How does this compare with informal shout-outs in chat or email?

Informal shout-outs are useful for quick appreciation, but they are hard to compare, search, and review consistently. This template turns a good story into structured data that can support fairer recognition decisions and a clearer record of why someone was nominated. It also helps reviewers see patterns across departments and award categories. If you want a repeatable recognition process, a form is much easier to manage than scattered messages.

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