Governor’s NCWorks AwardPage 1 of 5

EMPLOYERCATEGORY
NOMINATION FORM

EMPLOYERCATEGORY

GENERAL INFORMATION:

  1. Nomination procedures and forms may be found online at
  2. Awards will be presented at a banquet on the evening of October 6, 2016, at the Sheraton Four Seasons in Greensboro. If the nominee is selected to receive this award, it is the responsibility of the nominating agency to provide the necessary transportation and lodging for the nominee.
  3. One electronic (e-mail) copy of the complete nomination package must be received by the NCWorks Training Center, Attn: Jonathan Snow at ,no later than 5:00 p.m. on Monday, May 2, 2016. Late nominations will not be accepted.

EMPLOYER CATEGORY NOMINATION CRITERIA:

Nominations not in compliance with all specifications will not be considered:

  1. Nominations must be for accomplishments and activities during July 1, 2015 - June 30, 2016.
  2. Nominees must meet the following criteria:

Demonstrate involvement and commitment to workforce development community in NC.

Give back to their community.

Provide a quality workplace for employees through opportunity for training, employee benefits, volunteer encouragement, and professional development.

Demonstrate willingness to hire targeted groupsdislocated workers, persons with disabilities, youth, former offenders, veterans, etc.

  1. Note: The size of the business will be taken into account when reviewing nominations, as the scale of accomplishments and potential for contributions may vary based on this factor.

A WORKFORCE SERVICE/PROGRAM DEFINED

For the purpose of the nominations for the Governor’s NCWorks Awards of Distinction, a workforce service or program must focus on career development, employment, and job training. Examples may include the following:

Governor’s NCWorks AwardPage 1 of 5

EMPLOYERCATEGORY
NOMINATION FORM

•NCWorks (One-Stop) Career Centers

•CTE and Early College programs offered through the public school system

•Community Colleges

•Community-based Organizations (Non-Profits)

•Apprenticeship Training

•Supported Employment

•On-the-Job Training

•Older Worker Training

•Workforce Literacy Training

•Workforce Innovation Opportunity Act program

•Wagner Peyser

•Work First program

•Supplemental Nutrition Assistance Program (SNAP)

•Job Corps

•Vocational Rehabilitation

•Programs for Former Offenders

•Programs for Persons with Disabilities

Governor’s NCWorks AwardPage 1 of 5

EMPLOYERCATEGORY
NOMINATION FORM

DIRECTIONS FOR COMPLETING THE NOMINATION PACKAGE:

Section / Required Component / Instructions
I. / Nominee Information / Provide the required contact information on the attached nomination form.
II. / Nominator Information / Provide the required contact information on the attached nomination form.
III. / Nominee Accomplishments / Provide a narrative for the information requested about the nominee’s accomplishments on the attached nomination form.
IV. / Support Letter / The nomination must include a letter of support from the local Workforce Development Board. The support letter may be faxed, mailed or submitted as a PDF file.
V. / Checklist / Complete the checklist to ensure the nomination package is complete.

I. NOMINEE INFORMATION:

Employer Nominated:
Mailing Address:
Telephone Number:
E-mail address:
Person to be notified if selected for an award:
Number of individuals employed at this site:
Nominee:

II. NOMINATION SUBMITTED BY:

Organization Name:
Mailing Address:
Contact Person:
Job Title:
Telephone Number:
Fax:
E-mail address:

III. NOMINEE ACCOMPLISHMENTS

A.Describe how the business has positively contributed to the local/state economy and improved workforce employment and training opportunities during the specified time period. (Text is limited to space provided below)

Nominee:

B.Describe the extent to which the business has demonstrated a continuing commitment to the workforce development system through donation of employee time and services, exemplary hiring practices, commitment to providing a high quality of life for employees, and the encouragement of business involvement in workforce development efforts. (Text is limited to space provided below)

C.Describe the extent to which the business has demonstrated involvement/use of the NC workforce system and has improved workforce development opportunities for specific populations including youth, displaced workers, persons with disabilities, public assistance recipients, veterans, older workers, former offenders, economically and educationally disadvantaged, and/or other populations.(Text is limited to space provided below)

Nominee:

D.Describe the extent to which the business has promoted positive community/public relations for workforce development programs and supported/encouraged individuals in need of workforce development.(Text is limited to space provided below)

V. CHECKLIST

Please complete this checklistand return with your nomination packet to:

NCWorks Training Center

Attn:Jonathan Snow –

Phone: 919-814-0386

/ Nominee meets criteria outlined on Page 1.
/ Section I – Nominee Information completed.
/ Section II –Nominator Information completed.
/ Section III – Nominee Accomplishments for the period of July 1, 2015 to June 30, 2016.
/ Section IV – Support letter(s) attached from the local workforce development board.
/ Nominating organization has submitted only ONE nomination in this category.
/ Submitted prior to deadline of May 2, 2016.

Nominations must be received no later than 5:00 p.m. on Friday, May 2, 2016.

Late nominations will not be accepted.