Online Nomination

What type of nomination / feedback would you like to give ?

If an employees has given exceptional service to you, please let us now by filling in the form below. The Society also has an employe of the month program where an employee is recognised for meeting and displaying our core values. All nominations will be considered for the employee of the month, however if you would like to make a specific nomination for this employee, please indicate below.

Employee of the month nomination

Recognition
Thanks
Feedback on a job well done

Nomination - Iris Cribb Bursary

Your Details

Please enter your name:

Please enter your email address:

Please enter your phone number:

The Nominee / Employee

Who would you like to nominate?
Enter the name of the person

Please explain how the person demonstrated the core value of safety:

Please explain how the person demonstrated the core value of respect:

Please explain how the employee demonstrated the core value of integrity:

Please explain how the person demonstrated the core value of teamwork:

Please enter any other comments in support of the nomination:

Would you like to attach any relevant documents in support of the nomination?:

Document 1:

Document 2:

Information on this form (including your name) may be used by the Society in newsletters, statements, social media posts, annual reports, etc.