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The Awards: Application Form

   

arrowsClosing date for applications is August 16th, 2010.

...believe in your ability and in your value to yourself, your family, friends, work colleagues and to society.

 

 

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Section 1: Background Information
Award Category:
Please tick one Award Category. If you wish to nominate or be nominated in more than one Category, you should complete a separate application form for submission.
  WMBusinesswoman of the Year Award 2010
Accenture WMBig Idea Award 2010
Microsoft WMB Woman in Technology Award 2010
Newstalk WMB Social Entrepreneur of the Year Award 2010
WMB Entrepreneur of the Year Award 2010
Nominating someone     Nominating yourself

If you are nominating someone other than yourself please fill in this section (in blue):

Name of person you wish to nominate:


Company/organisation:
Position held:
Their Contact Details  
Email:
Contact No:

Why are you nominating this person? Please elaborate

 

Your Details

 

Name:
Email:
Contact No:
If you are nominating yourself please fill in this section:
Your Name:  
Company:  
Address:  
Daytime telephone No:  
Mobile No:

 
Email:  
Website:  
Type of Business:  
No. of employees:  
Section 2: You and Your Work
Outline the nature of your business/business idea, your current role and your associated responsibilities?  
What reasons can you give for you/your company/your business idea being eligible for this award?  

For: The Big Idea Award *
What Challenges have you identified in your Business Plan which you will
need to overcome to bring your Big Idea to the next stage of development?

  *Only fill out this Question if you are applying for The Big Idea Award

 

For the Woman in Technology Award *

How have you, either through your community or professional activities, promoted and encouraged women into a career in Technology?

*Only fill out this question if you are applying for the Woman in Technology Award.

 
What challenges have you/your company overcome to get where you are today?  

Please describe one person in your life who influenced you to become the businesswoman you are today.

 
Which one of the following will be your single biggest objective in the year ahead? Profitability
Business Development
Sales
Financial Management
Staffing
Research & Development
Other
If Other please specify:
 
What are the biggest successes you/your company have had to date?  

Which one of the following strategies do you think will ensure long-term success.

Profit orientated
Quality based
Customer Focused
Visionary
Other
If Other please specify:
 
Do you maintain a work/life balance and if so, how?
Do you believe that your success will encourage the next generation of aspiring Business Women? How?
Should you be shortlisted for an award, please confirm your availability to attend at this event on the 27th September 2010. Please note that usual cover price will apply due to limited availability of seats at event. (Please tick box here).
I wish to keep my name confidential when nominating another individual (please tick here).
     

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