Entry Form: Contribution to the Community Award

A small business, social enterprise or charity able to demonstrate a positive impact in the local community either by helping a specific demographic or the wider community.

All questions on this application form must be answered with a total word count of no more than 1,000 words.

Additional supporting materials are recommended and advised e.g. marketing collateral and press coverage. Please limit this to no more than two items, but feel free to include a list of other materials available as a reference.

If you would like to submit your entry by post, please send it to the following address:

Nectar Business Small Business Awards 2014

C/o Clarion Communications

The Griffin Building

83 Clerkenwell Road

London

EC1R 5AR

Alternatively you can complete the form and email it to the following email address, which you can also contact if you have any questions on filling in your entry form:

Please send me details on future Nectar Business Small Business Awards

Please send me information on the Nectar Business programme and points offers

Closing date for entries is 30 April 2014

NB: ALL INFORMATION WILL BE TREATED IN THE UTMOST CONFIDENCE. NO SALES OR TURNOVER FIGURES WILL BE SHARED WITH PARTIES OUTSIDE THE AWARDS PROCESS.

Businessinformation

Name of business/organisation
Name of business owner
Contact
Business address
Email address
Contact telephone number
Website (if applicable)
Business Facebook account (if applicable)
Business Twitter account (if applicable)
Linked In account (if applicable)
Other social media account (if applicable)
Date founded/started trading
Company Number (from Companies House)
Number of permanent staff
Industry sector
Summarise your main business offering – product or service (no more than 50 words)

About you andyour business

Please tell us about your business in the box below (maximum 250 words)

You can include information such as:

i)Why did you decide to set up your business?

ii)What are your business’ products or services?

iii)Who is your target market?

iv)How has your business evolved since inception and what initiatives have helped you to get to where you are now?

v)Is your business a registered charity?

vi)What initiatives have you implemented or been involved in to raise funds?

vii)What efforts have you made to create a social change e.g. raising awareness of a cause, changing wider perceptions of a minority group (where applicable)

Financials

Please provide the following information (this can be supplied on separate sheets in detail but summarised below):-

For judges’ eyes only - This information will be used to confirm that all entries have been submitted by financially viable businesses.

Include details on your initial funding and any subsequent cash injections or loans that you have taken out, including re-payment details
Profit and loss figures for the last three years (if trading for less than three years please send figures to date)
Profit and loss projections for the next 12 months
Current balance sheet
Details of remuneration – is shareholder / director payment drawn via salary or dividend? (Please note: you do not have to provide salary details)
Forecasts for turnover and profit goals you have set for the company

How does your business benefit its community?

Please explain why you believe your business’s contribution to the community stands out from other business owners, in the box below(maximum 250 words)

You can include information such as:

i)How has the business achieved its objectives to date?

ii)Where appropriate, what profits have been re-invested into the community and for what purpose?

iii)How does your business impact the community it serves, have you undertaken any positive initiatives? Please provide examples/testimonials or feedback from community members

iv)What sets you apart from others offering similar products/services in this market?

v)Why should your business be award winning?

Continued growth

Please explain how you plan to grow your business, in the box below (maximum 250 words)

You can include information such as:

i)What do you want to achieve in the next five years?

ii)What initiatives are you planning to help you achieve this?

iii)What investment have you made into your workforce?

iv)Where relevant, what plans do you have in place to respond to cutbacks in funding/changing business environment? This could include reduction in donations, government cuts or change in legislation

Please tell us where you found out about the awards (select all that apply)?

□ National press – if so, which title?
□ Regional Press - if so, which title?
□ Radio – if so, which station?
□ Website – if so, which site?
□ Via Nectar Business website or email
□ Word of mouth
□ Social media
□ Other – please specify

Nectar Business: Small Business Awards 2014Page 1 of5
Contribution to the Community Award