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Employee of the Month Nomination Form Template

A free employee of the month nomination form for managers and teams. Coworkers nominate a colleague and share what they did, so picking a winner is fair.

Use template

Customize the pages and design to fit your needs.

Nominate a coworker.

Tell us who stood out this month and what they did. It takes about 3 minutes.

About this template

Coworkers name the person they're nominating, the value they showed and a real example of their work. You get every nomination in one place to pick the winner and share the stories.

Common uses

  • Employee of the month programs
  • Hotels, restaurants and stores
  • Team shoutouts and awards

Key features

  • Values checklist
  • Real examples and impact
  • Optional nominee photo

What this template asks

  1. What's your name?

    Short Text

  2. What's your work email?

    Email

  3. Who are you nominating?

    Short Text

  4. Which team or location do they work in?

    Short Text

  5. Which month is this nomination for?

    Select · January, February, March, April, May, June, July, August, September, October, November, December

  6. Which values did they show?

    Multiple Choice · Great service, Teamwork, Going above and beyond, Leadership, Reliability, New ideas

  7. Describe what they did

    Long Text

  8. How did it help the team or our customers?

    Long Text

  9. Upload a photo of the nominee

    File · Optional

How to use this template

  1. Copy it

    Select Use template and a copy opens in your workspace as an unpublished draft.

  2. Make it yours

    Edit any question or answer, choose a theme, and add your logo.

  3. Share it

    Publish, then send the link, show a QR code, or embed the form on your site. Responses arrive in Submissions.

Frequently asked questions

What should an employee of the month nomination include?

The nominee's name and team, the month, the values they showed, a specific example of what they did, and how it helped the team or customers.

How do I pick a fair winner?

Read the examples, not just the number of nominations. Many teams use a small panel that scores each nomination against the same values.

Can I share the form with every location?

Yes. Share one link, or print the QR code for break rooms, and use the team question to sort nominations by location.

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