SECTION 1: NOMINEE INFORMATION Name of company being nominated Address City Postal Code Telephone Fax Company President Number of Employees Head office location Years in operation Website Facebook page Twitter Correspondent for this application and all ABEX information (Name) Title Phone Email ** Birth date of nominee: ** Must be 18-35 as at Nov. 1, 2015 to qualify for this award. GENERAL INFORMATION 1. Provide a description (100 word/600 character maximum) that best describes why you, as an entrepreneur, deserve this award. This will be given to the judging committee and distributed in ABEX promotional pieces should your company become a finalist. Please take the time required to best represent your company, keeping in mind that this may be published. Companies submitting nominations in more than one category must submit separate and different descriptions tailored to each category.
2.
Describe why you feel this nominee deserves the ABEX Award for Young Entrepreneur of the Year. Please discuss how the nominee’s business concept is innovative and resourceful, and indicate what inspired the nominee to start their business or keep working at their business. (800 character max.):
3. Describe the long-term goals and strategies the nominee has employed in maintaining the operation of their business and the strategies to meet those goals. (600 character max.)
4. Describe the products/services offered by the nominee that earns the business revenue, and describe how the product or service is used by the buyer or customer. (500 character max.)
5. Describe what processes or resources were used by the nominee to develop their business idea and how they were used, including advertising and outside professional advisors. (600 character max.)
6. What communities does the nominee’s business serve? Please name at least three customers served by the nominee’s business. (250 character max.)
7. How has the nominee applied the concept of Corporate Social Responsibility, described as a “company’s commitment to conduct business in an economically, socially and environmentally sustainable manner”? (600 char. max)
8. Describe additional awards, honours, recognition and/or accomplishments of the nominee (250 char. Max.)
9. Does the company have a safety plan? Please attach electronic safety plan if possible, or at minimum, the index to show what the plan covers. (Not sure what’s in a safety plan? Visit the ABEX page of the Sask Chamber website at www.saskchamber.com for more information) Yes
No
10. Is the business in compliance with all provincial and federal regulations? Explain briefly (100 character max.)
SECTION 2: FINANCIAL INFORMATION Financial success is an important criterion in recognizing business excellence. In order to assist the jury in the selection of the ABEX Award winners, you are encouraged to submit any financial information that would demonstrate the success of the business. NOTE: Companies who do not include financial information typically score lower in judging and are less likely to become a finalist. Also, finalists in various categories may be contacted by our independent evaluators, Cogent Chartered Professional Accountants LLP, to provide certain financial data that would assist the jury in determining the financial stability of your business. All information is treated in a strictly confidential manner.
SALES (for the last three years): 2014
2013
2012
DETAILS OF RANGE OF ACTIVITIES Types of Products or Services
% of Total Sales/Revenue
Please attach PDFs of any documents (brochures, folders, annual reports) that the company has published describing its activities, interests, etc. which you feel would enhance your nomination.
SECTION 3: NOMINATION AUTHORIZATION Please print, sign and scan this page; or use a digital signature to complete it, and return with the other sections of the nomination. Nomination submitted by Nominator’s signature
Date
Authorized by Position Signature
Date
** All third-party nominations must be approved by an authorized representative of the nominated company. Did your local chamber of commerce or a professional organization encourage you to submit this nomination? Local Chamber of Commerce (name): Sask Chamber board or staff (name): Professional Organization (name): Other business (name):
