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Premier’s Award of Excellence and Innovation 2018 Nomination Form | 1
Government of YukonPremier’s Award of Excellence and Innovation 2018Recognizing outstanding service and accomplishments of Yukon government employeesThe Premier’s Award of Excellence and Innovation provides an opportunity to showcase individual employee talents and teamwork. The award encourages results, cooperation, understanding and respect within the the Government of Yukon public service.
Nomination deadline: Friday April 20, 2018, 5pm
We are not able to accept late or incomplete nominations. The Government of Yukon Premier’s Award of Excellence and Innovation Selection Committee cannot help with nomination submissions and will not follow up on incomplete nominations.
Nominees announced: Nominees will be announced during Public Service week (June 11 to 15).
Type: individual, small team or big team
Nomination form
An Individual must:
• have been an employee when the work occurred• not be the nominator• consent to the nomination (posthumous nominees
require consent from a family member)
Nominate individual
A Small Team is made up of:
• between two to twelve people, all of whom must consent to the nomination
• people other than the nominator
Nominate small team
A Big Team is made up of:
• between 12 or more people, all of whom must consent to the nomination, as well as the deputy ministers of the nominated department(s)
• people other than the nominator
Nominate big team
Premier’s Award of Excellence and Innovation 2018 Nomination Form | 2
Individual nominee info
Name:
Department: Phone:
Community location:
Nominee signature:
Team nominee info
Team Name:
NameDepartment/organization Phone Signature
KEY CONTACT FOR TEAM
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Premier’s Award of Excellence and Innovation 2018 Nomination Form | 3
Nominator info
Name: Phone:
I state that has agreed* to this nomination (nominee or team name)
Signature: Date:
* Nominations without the consent of the nominee will not be considered.
Supporting nominator info
Name: Phone:
Signature: Date:
Letters of support
Please attach one to three letters of support. The letters can be written not just by the nominator but also the clients, supervisors, managers, colleagues or other supporters of the nominee(s).
Supporter 1:
Optional
Supporter 2:
Supporter 3:
Recognition categories
Please tell us how the nominee has made significant contributions in ONE of the categories listed below by:
1. Checking the box of ONE of the three categories below (Outstanding Achievement, Excellence in Leadership, Innovation and Public Service).
2. Checking the box of one or more of the criteria listed below your selected category.
3. In the text box below the criteria you’ve selected, provide an explanation of how the nominee has exceeded the expectations of their job as per your selected criteria.
Premier’s Award of Excellence and Innovation 2018 Nomination Form | 4
Outstanding achievement (open to individuals and teams)
Employees who have had a significant and positive impact through an outstanding accomplishment.
Please select which criteria best describes the achievement(s) of your nominee:
Long standing public servant who has made significant contributions throughout their career
Successful completion of a large-scale or high-profile event or project
Exemplary actions during an emergency situation or exceptional circumstances
Exceptional collaboration across boundaries to achieve success
Outstanding knowledge, skill, creativity and innovation
Other, please describe:
Please explain how the nominee has exceeded the expectations of their job in this category:
*Attach additional information at end of application, if required.
Premier’s Award of Excellence and Innovation 2018 Nomination Form | 5
Excellence in leadership (open to individuals)
Employees who demonstrate outstanding leadership and act as a role model for the public sector or community.
Please select which criteria best describes the achievement(s) of your nominee:
Senior public servant who demonstrates excellence in leadership
Acts as a role model and has a significant and positive influence on his/her colleagues
Leadership has led to improved employee performance
Innovation and initiative position him/her as a leader for positive change
Has made significant advancements for the principles of diversity of inclusion
Has made significant positive advancements toward creating a safe and healthy workplace
Has made significant positive advancements in employee development and training
Other, please describe:
Please explain how the nominee has exceeded the expectations of their job in this category:
*Attach additional information at end of application, if required.
Premier’s Award of Excellence and Innovation 2018 Nomination Form | 6
Innovation (open to individuals and teams)
Employees who have demonstrated an innovative approach to delivering programs and services to Yukoners.
Please select which criteria best describes the achievement(s) of your nominee:
Displayed initiative and leadership as an agent of change in the organization
Used original thinking and problem solving to improve the quality of a service or program
Pioneered an innovative technological solution or process
Implemented positive workplace improvements that have encouraged a culture of innovation
Found creative and workable solutions using limited resources
Other, please describe:
Please explain how the nominee has exceeded the expectations of their job in this category:
*Attach additional information at end of application, if required.
Premier’s Award of Excellence and Innovation 2018 Nomination Form | 7
Public service (open to individuals and teams)
Employees who achieve a high standard of customer service and provide effective, meaningful service to the public.
Please select which criteria best describes the achievement(s) of your nominee:
Has significantly contributed to the success of government goals and objectives
Provided exceptional service for Yukoners that has had a direct and positive impact on their lives
Significantly improved Yukoners’ access to public services, programs and information through their work
Provided high-quality service that is accessible and reliable
Used creativity and innovation to meet client needs
Made significant improvements to a process or program
Other, please describe:
Please explain how the nominee has exceeded the expectations of their job in this category:
*Attach additional information at end of application, if required. Once complete, please print this form, obtain the required signatures and submit originals as per the instructions below.
Premier’s Award of Excellence and Innovation 2018 Nomination Form | 8
Submissions
Mark the envelope “confidential” and deliver your completed form and letters of support by mail or in person to:
EmailSend application, along with supporting documentation to [email protected]
FaxTo fax your nomination, please call 867-667-8160 first.
Questions?Contact Liz Sutton at 867-667-8160 or [email protected]
Privacy statementInformation on the nomination form is only used by the Premier’s Award of Excellence and Innovation Selection Committee for the purpose of selecting an award recipient. This information is not shared for any other purpose.
If successful, award recipients may have their photo taken and used for promotional purposes by Government of Yukon.
Internal
Liz SuttonPublic Service Commission – Z-1 867-667-8160
External
Public Service Commission Communications and Engagement Unit Government of YukonMain Administration Building, Third Floor2071 Second Avenue, Box 2703Whitehorse, Yukon Y1A 2C6 Attention: Liz Sutton