AWARD ENTRY FORM

HR RISING STAR

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: hrawards@ihrm.or.kewww.ihrm.or.ke/hr_awards

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Purpose of the Award

The Rising Star Award recognizes an individual who has demonstrated early leadership qualities in human resources through personal

performance and commitment to professional, volunteer, and educational opportunities. Rising stars are the future of the profession.

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:

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

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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

Others:

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

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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 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.

Signature of Nominator: Date:

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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: hrawards@ihrm.or.kewww.ihrm.or.ke/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) _______________________

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

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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.

1 Name: _________________________________2 Designation: ____________________________3 Contact number : ________________________4 Email address : __________________________5 Postal address : __________________________

9. HR Metrics:

Metrics Unit FY 2015 - 16 FY 2016 - 17 FY 2017 18Revenue Growth %Profit Growth %Total Employee Headcount – FTE/ Permanent Employees Nos.Employee Headcount Growth – FTE/ Permanent Employees %Total Contractual Employee Headcount Nos.

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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.): 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

In Kshs.

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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.

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Contribution in the Workplace

What was the last major project for the organization that the nominee had a significant role? Describe the project, the nominee’s role, and the impact the project has had on the organization.

What impact has the nominee had on the HR department and the organization as a whole?

Please limit this section to 500 words.

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Contribution in the Workplace

What was the last major project for the organization that the nominee had a significant role? Describe the project, the nominee’s role, and the impact the project has had on the organization.

What impact has the nominee had on the HR department and the organization as a whole?

Please limit this section to 500 words.

Volunteerism/Community Involvement

What community volunteer activities has the nominee been involved in over the past 12 months? How has the nominee made a positive contribution to the community and improved the lives of others today and in the future?

What HR-related volunteer activities has the nominee been involved in over the last 12 months? What level of initiation was undertaken by the nominee and how was leadership displayed? How has the nominee contributed to the HR profession through volunteer activities over the last 12 months? What are the impacts and sustainability of the activities?

Please limit this section to 500 words.

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Volunteerism/Community Involvement

What community volunteer activities has the nominee been involved in over the past 12 months? How has the nominee made a positive contribution to the community and improved the lives of others today and in the future?

What HR-related volunteer activities has the nominee been involved in over the last 12 months? What level of initiation was undertaken by the nominee and how was leadership displayed? How has the nominee contributed to the HR profession through volunteer activities over the last 12 months? What are the impacts and sustainability of the activities?

Please limit this section to 500 words.

Continuous Learning

How has the nominee applied their education and experience to make a significant impact on the organization?

How has the nominee accepted and applied feedback received?

What steps has the nominee taken to grow and develop as an HR professional?

What HR activities has the nominee undertaken in the last year that demonstrates the pursuit of continuous improvement?

How has the nominee demonstrated new skills learned through their work?

Please limit this section to 500 words.

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

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.

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Continuous Learning

How has the nominee applied their education and experience to make a significant impact on the organization?

How has the nominee accepted and applied feedback received?

What steps has the nominee taken to grow and develop as an HR professional?

What HR activities has the nominee undertaken in the last year that demonstrates the pursuit of continuous improvement?

How has the nominee demonstrated new skills learned through their work?

Please limit this section to 500 words.

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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