Workers of the Year

Workers of the Year

National Award

2015

Worker of the Year National Awards 2015

Nomination Form

Nominee Details:

Name & Surname of Nominee:

Title: / ID Card No:
Organisation: / Position within Organisation:
Address:
Postcode: / Tel/Mob: / Email:
Nominator Details:
Name & Surname of Nominator 1:
Title: / ID Card No:
Organisation: / Position within Organisation:
Address:
Postcode: / Tel/Mob: / Email:
Name & Surname of Nominator 2:
Title: / ID Card No:
Organisation: / Position within Organisation:
Address:
Postcode: / Tel/Mob: / Email:
Name & Surname of Nominator 3:
Title: / ID Card No:
Organisation: / Position within Organisation:
Address:
Postcode: / Tel/Mob: / Email:

All information provided in this nomination form may be used for PR purposes in relation to the 2015 awards. Please ensure that all information provided is accurate and suitable for use in the public domain. Information relating to the nomination form can be found in the accompanying document ‘Workers of the Year National Award 2015 – Information and Guidance Notes’.

A high resolution photograph of the person/team you are nominating and a company/employer logo may be submit-ted online, by email to or by hand together with this form to MSDC, Barriera Wharf, Valletta.

If nomination is successful, nominators may be asked to take part in a short feature film explaining why they have nominated this person or team.

Information about the Organisation

Please provide a summary of what the nominee’s or team’s organisation does, its core purpose, activities, initiatives and key achievements, (not more than 250 words).

Supporting Statement

Please provide a statement to support your nomination. Explain nominee’s achievements. Kindly indicate what makes your nominee a prospective winner and why this person/team is worthy of a nomination for the 2015 awards, what makes your nominee stand out, why he/she/they could be described as truly inspirational, and how he/she/they has/have made a difference to the lives of their work colleagues. (not more than 500 words).

Permissions
We confirm that permission has been granted by the nominee to submit this application. / YES / NO
We give permission for all information, quotes and photographs provided to be used by
MSDC for publicity purposes, including media coverage, without breach of copyright. / YES / NO
We are happy to be contacted by print and broadcast media for interviews, both pre and
post Awards Night and for our contact details to be shared with those journalists vetted by
MSDCfor the purposes of the 2015 awards only. / YES / NO
Final Checklist
All sections within the nomination form have been completed.
Attach any additional materials in support of your application.
Check all the information provided is correct, including contact details.
Photograph has been attached.
Permission boxes have been ticked.
Company/Organisation logo.

Please submit your completed nomination form

by no later than 5pm on Tuesday 30th September 20154 either by:

i) clicking the submit button on the online form; or ii) via email to ; or

iii) delivering a printed hard copy to MSDC, Barriera Wharf, Valletta,

Indicate as an email subject or mark envelopes: "Workers of the Year National Award 2015"4".