Nomination Form

To nominate, complete four parts of the nomination form. For more information or guidance, refer to the Guidance Booklet, Values Booklet and Example Nomination Form. Should you have any questions, please contact the HR Department.



All fields need to be completed in order to submit the nomination.


Part 1: Nominator Details


Enter details about yourself as the nominator
(person submitting the nomination)

  • First Name*

  • Last Name*

  • Email Address*

  • Position / Job Title*

  • Company*

  • Division / Business Unit*

  • Department*

  • Location*

Part 2: Nomination Category & Type


Enter details about the nomination.

  • Choose an award category*

  • Choose a nomination type*

Part 3: Nominee Details


Enter details about the nominee(s). If nominating a team, specify the team name and details about each individual. There is a maximum of 10 people allowed in a team nomination.

Nominee 1

  • First Name*

  • Last Name*

  • Email Address (if known)

  • Position / Job Title*

  • Company*

  • Division / Business Unit*

    Department*

  • Location*

Nominee 2

  • First Name*

  • Last Name*

  • Email Address (if known)

  • Position / Job Title*

  • Company*

  • Division / Business Unit*

    Department*

  • Location*

Nominee 3

  • First Name*

  • Last Name*

  • Email Address (if known)

  • Position / Job Title*

  • Company*

  • Division / Business Unit*

    Department*

  • Location*

Nominee 4

  • First Name*

  • Last Name*

  • Email Address (if known)

  • Position / Job Title*

  • Company*

  • Division / Business Unit*

    Department*

  • Location*

Nominee 5

  • First Name*

  • Last Name*

  • Email Address (if known)

  • Position / Job Title*

  • Company*

  • Division / Business Unit*

    Department*

  • Location*

Nominee 6

  • First Name*

  • Last Name*

  • Email Address (if known)

  • Position / Job Title*

  • Company*

  • Division / Business Unit*

    Department*

  • Location*

Nominee 7

  • First Name*

  • Last Name*

  • Email Address (if known)

  • Position / Job Title*

  • Company*

  • Division / Business Unit*

    Department*

  • Location*

Nominee 8

  • First Name*

  • Last Name*

  • Email Address (if known)

  • Position / Job Title*

  • Company*

  • Division / Business Unit*

    Department*

  • Location*

Nominee 9

  • First Name*

  • Last Name*

    >
  • Email Address (if known)

    >
  • Position / Job Title*

    >
  • Company*

  • Division / Business Unit*

    Department*

  • Location*

Nominee 10

  • First Name*

    >
  • Last Name*

    >
  • Email Address (if known)

    >
  • Position / Job Title*

    >
  • Company*

  • Division / Business Unit*

    Department*

  • Location*

PART 4: Nomination Activity


Enter details about the nomination activity

Tell the story! Provide a summary of the activity, which supports the nomination for your chosen award category. Tips to upgrade your nomination:



Use the ‘STAR’ method to tell the story (Situation, Task, Action, Result)
Include details of any challenges or barriers that were overcome
Include any relevant metrics
Include information about specific individual responsibilities, tasks and behaviours

PHX Ireland Recognition Awards 2024
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