Value Champions Nomination Form

Who are you nominating?
First Name*
Last Name*
Position
Department/Store Name & Number/RSC Name
Office/Store/RSC
Nominated Employee’s Manager
Position & Store Office/RSC Name
Please select a core value…
If you would like to nominate for more than one value, please complete a separate form.
How does this employee demonstrate this value day to day?*
Provide a specific example/story of a time the employee lived this core value.
Your Information
Name*
Position & Store/Office/RSC Name*
Phone
Email
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