Values into Practice (ViP) Awards sponsored by Walter Cooper: The Include Award

*Please note this form is for staff only*

Thank you for nominating a team or individual for the ViP Include Award, sponsored by Walter Cooper.

This is for someone who recognises and celebrates the diversity and experience of our community, colleagues and partners, creating relationships and climates that provide an opportunity to share, collaborate and grow together.

Please evidence how this person or team has demonstrated this in the last 3 months in your award submission.

Your nomination can be anonymous (the person or team won’t know that it was you that nominated them). Simply let us know at the bottom of the form.

Name of the individual/team you are nominating: (required)

Job title of the person you are nominating (if known):

Email address of the individual being nominated (or the manager of the team): (required)

Reason for nomination, looking back at the last 3 months (maximum 250 words, please note anything above 250 words will be cut out of the nomination): (required)

Name and email address of the nominee’s line manager (if known):

Which site is the individual or team based at? (required)

If satellite site, please detail below:

Your name: (required)

Your email address: (required)

Would you like your nomination to be anonymous (the person or team won’t know it’s you who nominated them)? (required)

Yes - I don’t want them to know it was me who made the nominationNo - I’m happy for you to share my name with the person or team I’m nominating

How did you hear about the awards? (required)

Intranet pageWord of mouthTeam meetingPoster/flyerAll-staff briefingOther

If other, please detail here:

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