Outstanding Business Leader Application Form

Introduction (optional)

The Outstanding Business Leader award recognises the positive contribution made to business by business people and professionals. The award recognises those who demonstrate outstanding entrepreneurial spirit, strategic business direction and innovative ideas, whilst providing inspiration to a new generation of upcoming business leaders. Individuals entering into this category can be self-employed or employed by a business.

Conditions of Entry: (optional)

• Entrant is aged 36 years and over at the time of entry

• Entrants must be located in the Barrington Coast Region

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

• Answer every question

• Please be aware of word count on each 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)

Business Trading Name

Business Display Name

(This is how we will refer to your business name in any marketing or promotions – for example, if you become a finalist it is how we will list your company name on the website, email marketing, finalist certificates and slides on the night etc.)

ABN

Date Established

Annual Turnover

Number of Full time employees

Entrant’s Name

Entrant’s Contact Phone Number

Entrant’s Contact Email

Entrant’s Contact Job Title

Business Postal Address

Category Entered

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)

Entrant’s date of birth.

Name of your organisation or business.

Provide a current profile of yourself including your scope of responsibilities, details of your role, any direct reports, your budget, your financial and organisation reporting line.

0/300 Max words

Detail your achievements in business with clear measurable examples.

0/400 Max words

Outline how you have reshaped your business, organisation or industry to create a smarter and more inclusive future with examples of how you have used your leadership skills?

0/400 Max words

Provide an overview of your five-year strategies for future growth and key milestones, detailing how you are working towards achieving each of them.

0/400 Max words

Describe the key challenges you have faced as a business leader and how you overcame each of them.

0/400 Max words

Describe the activities and initiatives you have undertaken to help the community (and or the business community).

0/400 Max words

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