Excellence in Health and Wellbeing Application Form

Introduction (optional)

This Award recognises excellence in businesses providing “feel good” services and recognises the health intervention measures and facilities which help to improve quality of life, making a real difference to the wellbeing of our community.

Conditions of Entry: (optional)

• Entrants must be located in the Barrington Coast region

• Entrants must be received by 5pm 10th December 2021

• Answer every question

• Submissions should not exceed 250 words per question

• All information remains confidential

Core Questions (optional)

These broad-based business questions are required to be completed by all entrants. This only needs to be completed once, regardless of how many categories entered. This section is not judged, however it provides a context in which your business operates and is used in the marketing of your business in relation to the Business Awards program.

Please describe what your business does?

0/250 Max words

Tell us the overall objectives of your business?

0/250 Max words

Tell us what winning these business awards would mean to your business?

0/250 Max words

How will your business act as a role model in the future?

0/250 Max words

Entrant Details (optional)

Name of Business

ABN

Contact Person

Position

Business Street Address

Business Postal Address

Date Business Commenced

Number of employees

Category entered

Email

Business Chamber Status (optional)

I am a member of the Business Chamber

I would like to become a member of the Business Chamber

I hereby agree that:

1. The judge’s decision will be final.

2. To the best of my knowledge the information contained in this entry is correct and accurate at the time of submission.

Application Questions (optional)

Tell us about yourself and the history behind your business.

Explain the key strengths of your business and what makes you the best at what you do?

Describe how your business has grown, adapted or responded to the trading conditions of the past year?

What plans are in place to ensure that your business remains sustainable into the future? Identify two business goals for the next 12 months.

How does your business identify its customers, market to their needs, gain feedback and improve products and services?

What new ideas, new products, new technologies or other innovations have you introduced into your business in the last 12 months?

How do you ensure staff development, including career path planning and seizing opportunities for your own and employee’s personal growth?

How does your business stay up to date with changes in the business environment and the broader trends in your industry?

How does your business actively support the community and/or business environment?

Do you encourage your employees to be involved in community activities?

Declaration (optional)

I declare that the information I have provided is true and correct at the time of entry. I confirm that I and my Businesses have met all the necessary licences and operational requirements for my business to operate in the MidCoast Council area. I further declare that I am not bankrupt or trading insolvent at the time of entry, nor in dispute with any other business, government agency or department at any level at the time of entry.

I understand that if circumstances change, concerning my own status or that of my business, I am obligated to inform the MidCoast Business Chamber and that this may at the sole discretion of the Judging panel, exclude me from these awards.

Acceptance

I agree that my name below will be as valid as a handwritten signature to the extent allowed by local law