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AWARD ENTRY FORM DISTINGUISHED HR PRACTIONER Instructions: Please use font: Arial and point size 10 when completing your entry. Text boxes are included under each section within this template and can be expanded by pressing ‘enter’. Please stick to the word count and use of this particular template to make your submission. They will be checked and if your entry exceeds the word count it will be sent back to you to amend. All pages of this document must be read and filled wherever applicable. Ensure that the declaration box on the last page is read, agreed to and signed. Any additional documents can be attached under the ‘supporting documents’ section (size: under 1MB each). Once your entry is ready to be submitted, you can upload your entry form and supporting information via the HR Circle of Excellence Awards website at the entry submission page, email them or send a hardcopy of the same to: Awards Committee Institute of Human Resource Management Cardinal Otunga Plaza P.O. Box 6132 -00300 Nairobi, Kenya Tel: +254 (0) 20 2213745, +254 (0) 20 2240213 Mobile: 0727 792 001, 0786 135 559 Fax: + 254 (0) 20 2244557 Email: [email protected] www.ihrm.or.ke/hr_awards 1

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AWARD ENTRY FORM

DISTINGUISHED HR PRACTIONER

Instructions:

• Please use font: Arial and point size 10 when completing your entry. • Text boxes are included under each section within this template and can be expanded by pressing ‘enter’. • Please stick to the word count and use of this particular template to make your submission. They will be checked and if your

entry exceeds the word count it will be sent back to you to amend.• All pages of this document must be read and filled wherever applicable. Ensure that the declaration box on the last page is

read, agreed to and signed.• Any additional documents can be attached under the ‘supporting documents’ section (size: under 1MB each).• Once your entry is ready to be submitted, you can upload your entry form and supporting information via the HR Circle of

Excellence Awards website at the entry submission page, email them or send a hardcopy of the same to: Awards Committee

Institute of Human Resource ManagementCardinal Otunga Plaza

P.O. Box 6132 -00300 Nairobi, KenyaTel: +254 (0) 20 2213745, +254 (0) 20 2240213

Mobile: 0727 792 001, 0786 135 559Fax: + 254 (0) 20 2244557

Email: [email protected]/hr_awards

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Purpose of the Award

The Distinguished HR Practitioner of the Year award recognizes an individual who has demonstrated outstanding leadership at the

executive level. The individual to be crowned winner of this prestigious award has to have played an instrumental role in leading

transformational changes. More importantly, he/she ensures HR’s seat at the top management’s table is well deserving and heard

during the reviewing of business plans. Additionally, judges look beyond expertise as they focus on the passion the individual

possesses. He/she understands the strategic role of HR in collaborating with the business while striving to continually improve policies

for better business outcomes.

Glossary of Key Terms Used:

FY:

Financial Year: Please consider 1st July to 30th June as the financial year for providing details in this form.

Rating Scale:

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Please use a scale of 1 to 10 (with 10 being ‘best’ or ‘most positive’ and 1 being ‘least’ or ‘most negative’) to communicate ratings/

scores.

PwD:

Persons with Disability

Executives:

The top three tiers of your organization i.e. the CEO, Executive Board (or equivalent) and first level reports (does not include Non-

executive directors). If reporting for a business unit, data should represent the highest parent entity of your organization, not the senior

team in any business unit or country of operation.

Senior managers:

Middle management - Level of experience typically 8- 15 years

Managers:

First level managers or Junior Management - Level of experience typically 0-8 years

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Others:

All staff who do not have any people managerial responsibility (i.e. no one reporting to them)

NOMINEE INFORMATION:

Name of individual being nominatedTitle of individual being nominatedOrganization of individual being nominatedContact information for individual being nominated (phone/email)

I hereby agree to be nominated for this award.

Signature of Applicant: Date:

NOMINATOR INFORMATION:

Name of nominatorTitle of nominatorOrganization for nominatorContact information for nominator (phone/email/address)Relationship to nomineeHow did you hear about this award or event

I hereby nominate the above individual and submit the attached information for consideration.

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Signature of Nominator: Date:

N/B: You can nominate yourself or your peers.

Submissions must be received on or before May 10, 2019 at 11:59PM

Please apply online, mail or email the completed application form and all supporting documents to:

Awards Committee,Institute of Human Resource Management

Cardinal Otunga PlazaP.O. Box 6132 -00300 Nairobi, Kenya

Tel: +254 (0) 20 2213745, +254 (0) 20 2240213Mobile: 0727 792 001, 0786 135 559

Fax: + 254 (0) 20 2244557Email: [email protected]/hr_awards

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Information provided by the applicants on this form will be used only for purposes of determining the awards winner

Section A: Participant Information

All questions are mandatory, unless stated otherwise. Your questionnaire may not be considered complete if these questions are left blank.

1. CompanyName:____________________________________________________________________________________

2. IHRM Membership Status: Member Non-Member

3. Type of Entity Large Companies MSME*

4. Nature of ownership in Kenya: Corporate Partnership / HUF Trust Government body Foreign owned Multinational corporation Other (specify) _______________________

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5. Date of Incorporation in Kenya (dd-mm-yyyy): ____-____-____

6. Revenues (as of FY 2017-18) <Kshs. 50 million per year Kshs. 50-200 million per year Kshs. 200-500 million per year >Kshs. 500 million per year

7. Is your organization listed on the Stock Exchange? Yes No

If yes, please share which Stock Exchange and current share price:

8. Details of SPOC (Single Point of Contact): This could be the CHRO or relevant Functional Head.

I. Name: _________________________________II. Designation: ____________________________

III. Contact number : ________________________IV. Email address : __________________________

V. Postal address : __________________________

9. HR Metrics:

Metrics Unit FY 2015 - 16 FY 2016 - 17 FY 2017 18Revenue Growth %

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Profit Growth %Total Employee Headcount – FTE/ Permanent Employees Nos.Employee Headcount Growth – FTE/ Permanent Employees %Total Contractual Employee Headcount Nos.Total HR Employee Strength Nos.HR to Employee Ratio %Gender Diversity Ratio [females to males] %

Average Employee Age Years/ MonthsEBIDTA per employee In Kshs.Employment Offer Conversion Rate %Mandatory Training conducted - Technical Skills (per employee per year)

No. of Man days

Mandatory Training conducted - Soft Skills (per employee per year)

No. of Man days

Employee Engagement Scores On a scale of 1 to 10

External Customer Satisfaction Scores On a scale of 1 to 10

Total People Investments including: Total amount spent on employees (Salaries, Benefits,

Taxes, health insurance etc.):

Total amount spent in support of employees (Real estate, communications, supplies, IT etc.): In Kshs.

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Total amount spent in lieu of employees (Leasing company expense, temp workers, costs related to outsourcing etc.):

Total amount invested in training & development (learning cost, travel cost, non-salary development costs etc.):

Section B – Quantitative Measurements

This section covers the quantitative aspects of the initiatives under the concerned category. Providing all the information under this section will enhance your nomination and aid the jury in accurate evaluation of your application.

10. What is your organization's primary industry:

11. Describe the key initiative(s) led by the nominee.

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11. Please provide information about the scope of the HR Executive’s impact on their organization and community, the extent to which the HR Executive helped drive workforce initiatives, measurable excellence in employee engagement and retention, and any professional risk taken by the HR Executive in pursuit of these aims.

12. Describe the impact of the nominee’s initiative(s).Please provide specific quantitative information about the impact, such as the size of the organization/community directly impacted, the relative population, the percentage impact on profits, cost savings, etc. These are only examples; any quantitative information is helpful in our deliberations.

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13. Please rate the extent to which the nominee drove this initiative on a scale of 1 to 10, with 1 being very little and 10 being completely:

1 2 3 4 5 6 7 8 9 10

14. Also please describe how the nominee drove the initiative

15. Rate the individual reputational or professional risk the nominee took for this initiative on a scale of 1 to 10 with 1 being very little

and 10 being completely:

1 2 3 4 5 6 7 8 9 10

16. Please describe the risk

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17. How long has the HR Executive been with their current company?

Less than a year

1 – 3 years

4 – 6 years

7 – 9 years

More than 10 years

18. Please use the space below to add any further details/information

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Note: You may choose to attach supporting documents of maximum 20 pages/slides for a particular Award category. These collaterals will be accepted only in the form of PPT, PDF or WORD documents. No excel formats, video/ audio submissions, links hyperlinked in text will be accepted.

DECLARATION

I agree to the terms and conditions and declare that this entry form is eligible for entry. I confirm all facts and figures contained within are accurate and true. I will be available should the judging panel wish to clarify any information within this entry form.

Once this entry has been submitted to the judges after the entry deadline, this form will not be refunded nor withdrawn from the category under any circumstance.

I also agree that if my company is short-listed in the finals, the

company will have representation at the awards ceremony.

Name:

Signature:

Date:Contact number:

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