WorkLife Champion Recognition Nomination

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* 1. Name of Manager/Supervisor you are nominating:

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* 2. Your name:

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* 3. Your email:

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* 4. Name of your unit/department (no acronyms please):

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* 5. Primary Work Location

Davis Campus (or Davis satellite)

UC Davis Health (Medical Center or UCDH)

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* 6. My manager/supervisor promotes work-life integration through the following actions:

Offers flexible work options.

Has established positive worklife strategies such as no email on non-work time, frequent personal check-ins, and encouragement of the use of sick and vacation time.

Is aware of UC Davis WorkLife policies, strategies and programming.

Communicates UC Davis WorkLife policies, strategies and programming.

Encourages use of UC Davis WorkLife policies, strategies and programming (shares, initiates, models).

Personally models worklife integration.

Other (please specify)

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* 7. My manager/supervisor provides me with opportunities to learn, grow and succeed in my work and career through the following:

Facilitates teamwork.

Supports innovation and solicits input from employees.

Encourages and provides opportunities for employee professional growth and development.

Coaches, encourages and assigns tasks on the strengths and skills of individual employees.

Gauges success on productivity and results.

Provides the necessary tools and resources for employee success.

Encourages employees to find "meaning" in their work and/or ties work activities to the organizational mission.

Promotes and facilitates an environment of pro-social work behavior.

Other (please specify)

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* 8. My manager/supervisor really cares about my well-being demonstrated through the following actions:

Recognizes employee milestones.

Creates a community of respect and inclusiveness.

Gives me an overall feeling of being supported at work.

Gives me an overall feeling of support in my efforts to be effective at work and home.

Provides me with flexibility to attend/perform campus wellness activities or support groups.

Posts or otherwise communicates wellness information and info-graphics.

Encourages frequent walking or stretching to minimize the negative effects of long-term sitting.

Encourages and models use of break-times.

Treats all employees equitably.

Other (please specify)

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* 9. My manager/supervisor has made my unit/department aware of the following UC Davis resources:

ASAP

Breastfeeding Support Program (rooms, classes, support groups, consults, and policy)

Care Advantage (Sittercity, Years Ahead)

Career Counseling (two complimentary consults per year)

Caregiver Education and Support Programming

Dependent Care Flexible Spending Accounts

Disability Management Services

Financial Education and Workshops (free!)

Flexible Work Arrangements (toolkit and forms)

Leave/Time off options

Ombuds

Staff Development and Professional Services (professional development classes and workshops)

Take our Daughters and Sons to Work Day (TODS)

UC Davis WorkLife and Wellness Website Resources

Wellness Activities (Brown Bags, classes, activities)

Wellness Ambassador Program

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* 1. Name of Manager/Supervisor you are nominating:

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* 2. Your name:

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* 3. Your email:

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* 4. Name of your unit/department (no acronyms please):

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* 5. Primary Work Location

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* 6. My manager/supervisor promotes work-life integration through the following actions:

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* 7. My manager/supervisor provides me with opportunities to learn, grow and succeed in my work and career through the following:

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* 8. My manager/supervisor really cares about my well-being demonstrated through the following actions:

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* 9. My manager/supervisor has made my unit/department aware of the following UC Davis resources:

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* 10. Feel free to share below any stories or examples of how your manager/supervisor is a WorkLife Champion: