Game Changer in Strategic Leadership Award (Professional Ceos)

Application Form

Game Changer in Strategic Leadership Award (Professional CEOs)

Definition: To recognize Strategic Leaders (professional CEOs) who have been successful in shaping the future of the organization and thus setting benchmarks for other organizations to follow.

Nominee Information

All questions are mandatory, unless stated otherwise; your questionnaire may not be considered complete if these questions are left blank.

Name: ______

Company Name:______

The Leadership LoungeMembership Status: MemberNon-Member

Type of Entity

Large Companies
SME

[Definition of SME:

For Manufacturing sector: Enterprises which have an investment of twenty five lakhs to ten crore rupees in plant & machinery

For Service Sector: Enterprises which have an investment of ten lakhs to not more than five crore rupees in equipment]

Years of Experience : ______

Please mention the organizations you have worked for and the tenure

Details of Point of Contact: Please nominate someone from CEOs Office / Head HR/Business Head

Name: ______

Designation: ______

Contact number : ______

Email address : ______

Postal address :

______

Please mention the CAGR in top line revenue growth, profitability and market share from the time you took over as CEO till date. (Please provide supporting yearly financials)

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Please mention some Key initiatives by you where you took control of the situation by conveying a clear vision of the group's / organization’s goals, a marked passion for the work and an ability to make the rest of the organization feel recharged and energized

Please mention some initiatives initiated by you to challenge the status quo in the organization and encourage your leaders and team members to explore new ways of doing things.

Please mention a few scenarios where you have served as a role model for your team.

Describe the initiatives taken / spearheaded by you to make a difference in the community and operate the business in a socially responsible and environmentally conscious manner?

How did you assess the effectiveness of the initiatives undertaken by you?

What impact have your initiatives had on your key stakeholders?

What efforts have you taken for the initiatives to sustain and grow over the next few years?

Have you won any leadership awards in the past? Please mention the same.

Please use the space below to add any further details/information

Declaration:

I ………………………………………………………. solemnly affirm that the above information is true and correct. I understand that this information is necessary for my candidature for the above award.

I also agree to pay a non-refundable sum of Rs ……………………….. towards the entry fee. I understand that the decision of the jury is final and my entry may or may not be shortlisted.

I also understand that the entry fee also entails one representative from my institute to attend the 8th National Conference & Game Changer Awards organized by The HR Club, Leadership Lounge and TEN India

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