SAMPLE: 2015 UK Prism Award Nomination Form

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1 SAMPLE: 2015 UK Prism Award Nomination Form Nominating Coach Nominations are invited from January 2015 and must be submitted by midnight 28 February Please provide contact details for one nominating coach who participated in the coaching initiative. This coach must be an ICF credentialed coach (at ACC, PCC or MCC level) and an ICF Member in good standing. Coach name ICF Credential level (ACC, PCC, MCC) Coach business/company name Coach business/company website Coach Coach phone Coach ICF Chapter affiliation A prerequisite for UK Prism Award eligibility is that the organisation must have started implementation of the coaching initiative at least 18 months prior to this nomination submission Organisational Nominee Please provide information about the specific organisation where the coaching initiative was implemented: Organisation name: Organisation address: Organisation status (e.g. private sector, voluntary, public sector): Industry sector (e.g. pharmaceutical, telecommunications, manufacturing): Number of employees: Annual sales : Implementation date of coaching initiative: Current status of coaching initiative:

2 Please quantify the extent to which this coaching initiative has been implemented across the organisation: Number of coaches used in coaching initiative: Number of employees receiving coaching: Number of department areas/business lines using coaching: During the UK Prism Award nomination review process, the judges may wish to contact the coaching sponsor (or a suitable designee) to provide additional/clarifying information about the coaching initiative. Please provide contact details for the most appropriate coaching sponsor (e.g. Human Resource, Learning & Development, Talent Management, Head Teacher etc.) within the organisation. Sponsor name: Title/Position: Phone: Please provide contact details for up to three individuals within the organisation who are considered to be the primary supporters or champions for the coaching initiative: Champion #1 Champion #2 Champion #3 Name Title/Position Telephone ICF Credential

3 Snapshot of Coaching Initiative As the Nominating Coach, please describe why you feel that this organisation should be recognised for a UK Prism Award, (250 words or less): Please describe the general scope of the coaching initiative in terms of the types of coaching that are being applied in the organisation, (250 words or less):

4 Detailed Evaluative Criteria ** NOTE: For the remaining sections of this Nomination Form, we ask that you refrain from identifying the name of the Organisational Nominee. Rather, please provide anonymous references (e.g. the organisation, the company, the school etc ) Standards: Provide examples of how the coaching initiative was developed in a way that would highlight a commitment to rigorous professional standards, industry excellence or best practices within coaching. Examples could include, but not be limited to, the following (500 words or less): Coaching initiative utilises external or internal coaches who hold an ICF Credential Individuals offering coach specific training to employees have graduated from an ICF accredited/approved program Coaches involved in the initiative have been offered coach mentoring/coaching supervision ICF Code of Ethics has been identified as a resource in coaching agreement with the organisation. In particular, confidentiality has been preserved in coaching conversations Evidence based approach has been adopted throughout coach training and/or delivery of coaching

5 Strategy: Provide specific examples of how organisational goals, strategic priorities or workplace needs are being addressed through the coaching initiative. Examples could include, but not be limited to, the following (500 words or less): Coaching initiative aligns with mission, vision, core values, or behaviours Coaching initiative can be mapped clearly to current goals/objectives Coaching initiative is supported by dedicated allocation of human and/or financial resources Coaching initiative has proven to be adaptable/has evolved to serve fast emerging employee/organisational needs Coaching has become a fundamental element of team and leadership development

6 Sustainability: Provide examples of how coaching has become embedded into the fabric of the organisation or identify any plans to develop the coaching initiative further. Examples could include, but not be limited to, the following (500 words or less): Organisation has coaching champions/advocates in senior leadership positions who can communicate the coaching strategy effectively Coaching has become positioned as a preferred solution when compared to other interventions Coaching used in forward thinking areas (e.g. talent management, succession planning, employee development) Coaching shows long term resilience in organisational infrastructure/operating budget Leadership styles have changed positively as a result of coaching

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8 Impact: Provide any observable and measurable details that underscore the value, influence or effectiveness of the coaching initiative. Examples could include, but not be limited to, the following (500 words or less): Integration of coaching measured by number of employees/proportion of workforce receiving coaching Employees who have received coaching provide positive testimonials that demonstrate the breadth and/or depth of coaching initiative Employee indicators provided that validate increased levels of workplace engagement and well being (e.g. decreased stress, increased resilience, goal attainment) Return on Expectations measurements provided for qualitative employee/organisational goals that were identified before coaching initiative was implemented Return on Investment measurements calculated for areas that emphasised financial business outcomes or for any impacted goal areas that can be converted to a monetary value

9 Participating Coach(es) Aside from the Nominating Coach, please provide information for up to ten coaches who are working (or have worked) on this coaching initiative: Name External Coach Y/N Internal Coach Y/N ICF Credential level (if applicable) Other organisation credential (if applicable) Active ICF Member Y / N Coach #1 Coach #2 Coach #3 Coach #4 Coach #5 Coach #6 Coach #7 Coach #8 Coach #9 Coach #10 Submitted by: Please provide name and title of Nominating Coach If you have any questions or comments than please feel free to contact the office on admin@coachfederation.org.uk or call

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