EY Entrepreneurial Winning Women

EY has been running Entrepreneurial Winning Women, a customised leadership development programme, internationally since 2008.

This executive leadership programme identifies a select group of high potential women entrepreneurs whose businesses show real potential to upscale – and helps them do it.

Eligibility

Woman business owners who are the founder or founding partner of a privately-held company.

The venture must be less than 10 years old and have a minimum of NZ$1million in annualsales in the last 2 years.

The cost for this two day programme is NZ$2,000 + gst. There are scholarships available so if you want to apply for one of these or even if you do not meet the qualifying criteria and would still like to attend just tell us why.

Criteria and selection

Entrepreneurial Winning Women will be expected to demonstrate the necessary qualities to take the fullest advantage of this opportunity, including ambitious company growth goals, energy, creativity, entrepreneurial purpose and passion.

Applicants must have the confidence, conviction, tenacity, plan and overall professional acumen to take a high-potential business and scale it into a market leader.

Additionally, Entrepreneurial Winning Women should have the maturity and level of business sophistication needed to interact effectively with potential investors, high-level business advisors and top executives.

Applications will be reviewed by an independent panel representing successful entrepreneurs, investors and business leaders. The judges will select up to 20 Entrepreneurial Winning Women.

Instructions

This form has been created in Microsoft Word and the format is protected. All applications are required to be submitted in this format utilising this form as a base document.

The word limits noted throughout the form have been set in consideration of the time required of both applicants in terms of completing the form, and judges who have a large amount of information to review and therefore may disregard additional content.

Key dates to mark in your calendar

2018 dates 5th & 6th March– A 2 day workshop will be held atEY’s Auckland office.

Submission

Applications need to be submitted by midday 14 February 2018. These will be reviewed by EY and up to 20 Entrepreneurial Winning Women will be selected and notifiedby no later than close of business 19 February 2018.

Completed applications can be submitted either electronically or posted to the address below.

Please note: In either format you must include a copy of your signed declaration for your entry to be valid.

Una Diver
Programme Director
EY Entrepreneurial Winning Women
PO Box 2146
Auckland 1140

Email:

Applicant information

Please provide name, title and company name as you would want it to appear on announcements, programmes or press releases.

Name
Title
Email address
Mobile #
Company name
Company address (street, city, postcode)
Company website

Company information

Select your industry:

Energy

Food / Beverage

Health / Biosciences

IT / Software

Manufacturing

Media / Communications

Retails and consumer products

Technology

Other (please specify):

About your business

Please provide a brief description of your company and its principal business activities (max 50 words).
Year company was founded
Are you the founding CEO? Yes No
Are there other co-founders of the company? If so, please provide names, titles, contact information and ownership percentage among all founders, along with their current roles in the business.
What percentage of the company do you presently own?

Financial data

Financial information is an important quantifiable indicator of success. The application will be considered incomplete and the candidate will be disqualified from consideration if this section is not completed in full. This information will be kept confidential.

How have you financed your business? (Please check all that apply):

Self / Public markets
Family/friends / Bank financing
Angel funding
Private equity
Venture capital / Other (please specify):
Please list all current investors and their ownership stakes.
Have you or your company been the subject of any investigation by a regulatory agency or governing or governmental body or subject to any disciplinary action by any such agency or governing body or been the subject of any civil or criminal complaint? Yes No
If yes, please provide a statement describing the matter and the current status.
Fiscal year-end (actual)
Most recent year-end / 2nd most recent year-end / 3rd most recent year-end
Fiscal year-end
Total employees
Annual sales / $ / $ / $
Income before taxes / $ / $ / $
EBITDA / $ / $ / $
Total assets / $ / $ / $
Total equity / $ / $ / $
 Earnings before interest, taxes, depreciation and amortization
Please indicate negative numbers with a hyphen (“-“)

Financial data (continued)

Please explain any unusual financial trends in the fiscal year-end financial information provided above, including any significant increases or decreases in revenue. If applicable, please also explain your intended path to future profitability if you are currently operating at a loss.

Personal statement

Please tell us the story behind your business and yourself as an entrepreneur building a market-leading business (including as appropriate):
-What are the major obstacles you have had to overcome in starting and/or growing the business?
-What is your strategic vision for what your business can ultimately become? (You may consider your answer in terms of revenue, job creation, market share, etc. as growth is an important objective for the programme.)
-How do you plan to evolve your business in the next year/three years/five years? (Be specific in describing your tactical goals and what it will take to achieve them.)
-How have you uniquely differentiated your business from your competitors?
-Describe the culture of your company and the values that guide you as a leader in your business and broader community.
(max 250 words)
Why should you be chosen to participate in this programme? What makes you uniquely qualified to capitalise upon this opportunity? (max 100 words)

External advisors/references

Please provide contact information for up to three individuals who have assisted you in your business venture and who may serve as references. They may include board members, advisors, your banker, attorney, accountant or a valued investor who may be contacted by programme management. They should not include any current employees.

1 / Name/title:
Company:
Phone:
Email:
2 / Name/title:
Company:
Phone:
Email:
3 / Name/title:
Company:
Phone:
Email:

Who do you bank with? ______

Photograph

If selected for the 2018 EY Entrepreneurial Winning Women programme, the applicant will be asked to submit one professional head-shot photograph. The photo will be used for reference and production purposes related to the applicant’s progression within the programme and for publicity purposes if selected.

By checking the box“I agree” under the Applicant agreement, the applicant hereby confirms and represents that she has obtained any and all consents or waivers required in order for EY to use the photograph for the above-stated purposes.

Applicant agreement

Use of information— I understand that the information and materials provided in this application will be used by Ernst & Young Group Limited and its affiliates and other member firms of EY Global Limited and their affiliatessupporters/mentors and collaborating organisations (as regards non-financial information) and the panel of independent judges for purposes of evaluating the application and creating a press release if I am selected to be one of the EY Entrepreneurial Winning Women. I consent to the use of such information for these purposes and hereby confirm and represent that I have obtained any and all authorisations or waivers required in order for EY, sponsors and judging panels to review and utilise applicant-provided information and materials in connection with the EY Entrepreneurial Winning Women programme. I further consent to the use of such information for research, educational or any other purpose as long as such use does not divulge my identity or the identity of the company to any person other than the sponsors, the judges and their respective affiliates unless I authorize such use in writing. I agree that the deliberations of the panel of independent judges shall be confidential and final.

Use of photo— If I am selected as one of the Entrepreneurial Winning Women, I hereby give Ernst & Young Group Limited and its affiliates and the member firms of EY Global Limited and their affiliates, and the partners, employees, agents, representatives, successors, assigns and those acting on its behalf of each of the foregoing entities the non-exclusive and transferable right, but not obligation, to use, edit, publicise, and reproduce freely my name and other likeness, including but not limited to, biographical data, picture, portrait, photograph, film, videotape, recordings of my voice, that I provide in connection with the EY Entrepreneurial Winning Women programme, including, but not limited to, the development and publication of marketing material, promotional publications, media publications and coverage, videos and other materials, whether such items are intended for an internal or external audience. I agree that no compensation shall be due me or my company or its principals and employees for such usage.

Confidentiality – I agree that any information which is disclosed to me or my company as a result of my participation in the EY Entrepreneurial Winning Women programme, including but not limited to information concerning the business or clients of Ernst & Young Group Limited and its affiliates and other member firms of EY Global Limited and their affiliates, shall be kept confidential. I will not disclose any such information to any other person without the prior written consent of Ernst & Young Group Limited, except as required by law.

Release — In consideration of my participation in the EY Entrepreneurial Winning Women programme, on behalf of myself and my heirs, executors and administrators, I hereby release and forever discharge Ernst & Young Group Limited and its affiliates, and the member firms of EY Global Limited and their affiliates, and the partners, employees, agents, representatives, successors and assigns of each of the foregoing entities from any and all liabilities, claims, actions, damages, costs or expenses of any nature arising out of or in any way connected with any information or materials submitted in connection with this application or with my participation in the EY Entrepreneurial Winning Women programme, including any events, ceremonies, or promotional activities related thereto.

Limitation of liability — In no event will Ernst & Young Group Limited and its affiliates, the member firms of EY Global Limited and their affiliates or theirpartners, employees, agents, representatives, successors and assigns be liable to me, the company or any affiliates (or any respective successors or permitted assigns) for any consequential, incidental or indirect damages (including loss of profits, data, business or goodwill) in connection with the EY Entrepreneurial Winning Women programme, whether or not liability is based on breach of contract, tort, strict liability, breach of warranty or otherwise, and even if Ernst & Young Group Limited or the panel of independent judges is advised of the likelihood of such damages. Our total liability to you will be limited to two (2) times the fees paid by you to Ernst & Young Group Limited or its affiliates for entering the EY Entrepreneurial Winning Women programme.

Disputes — If there is any dispute relating to this agreement or my participation in the EY Entrepreneurial Winning Women programme, both parties agree to submit to mediation before having recourse to any other dispute resolution process. The mediation will be conducted in accordance with the Arbitrators and Mediators Institute of New Zealand (AMINZ) Guidelines and the parties will use their best endeavours to settle the dispute promptly.

Governing Law – this agreement shall be governed by and construed in accordance with the laws of New Zealand. The parties both agree and irrevocably submit to the exclusive jurisdiction of the Courts of New Zealand.

I have read this Application Form, understand its contents, and represent that I am legally competent to sign this document on behalf of myself and [company name/s] and am not aware of any agreement with any other party that would conflict with the terms set forth herein. To the best of my knowledge, the information provided herein is true and complete. Please check the box to indicate your agreement and electronic signature, which is needed for the application to be valid.

I agree

Signature

How did you learn about EY Entrepreneurial Winning Women? Check all that apply.

Programme supporter

EY professional

Direct email

Media ad

Other, please indicate:

I wish to apply for a scholarship because

______

______

______

Key contacts

If you have any queries please contact;

Lucy Scanlon

+64 274 899 714

Nicola Black

+64 274 899 320

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