Ingenious Awards Collaborative Nomination Form

This form allows multiple people to contribute to the submission of a nomination for the 2017 Ingenious Awards as the corrent online form does not. It can be used to build and complete the submission and then copied and pasted onto the online version. Please note that fields marked * are mandatory.The closing date for nominations is July 14, 2017.
Once you have completed this form, please email it to Christine Leonard at .

Title of Project Being Nominated:

Award Category (bold the category):

Large Private Large Public Medium Private Small Private SME Public/Not-for-Profit

Note: An alternatenomination form is available on the website for the New Ingenious Spark category

NominatorInformation:(See ITAC Privacy Policy )

* First and Last Name:

* Organization:

* Position/Title:

* Address:

* City:

* Province:

* Postal Code:

* Telephone:

* Email:

Who Are You Nominating?(See ITAC Privacy Policy)

* Senior Company Officer:
(If self-nominating this senior company officer will be the person who will be the designated award recipient):

First and Last Name:

Title:

Organization:

Street Address:

City:

Province:

Postal Code:

Email:

Corporate Website:

Project Information

* Explain the business circumstances that your organization was presented with. Whenever possible use baseline metrics – for example, our annual energy consumption costs were $7 million and preventing us from being profitable, or our market share had dropped by 15 per cent over a 12-month period and needed to be restored (maximum 200 words):

* Explain the business objectives that were set to meet this challenge or seize this opportunity. For example, we wished to reduce annual energy costs by $3 million (maximum 50 words):

* Explain the difficulties and challenges your organization had to overcome in order to achieve your goals (maximum 200 words):

* Explain the role that information and communications technology played in achieving your objectives and why you feel this was an innovative use of this technology. Judges will be placing an emphasis on innovation (maximum 300 words):

* Please provide measurable results that indicate the project was successful. Ensure that the outcome corresponds to the business objectives. For example, our energy consumption costs were reduced by $3.5 million, or our market penetration increased by 17 per cent. Provide as much detail as possible i.e. cost savings, increased revenue, productivity improvements, etc. (maximum 250 words):

Independent Reference
Please provide the name of a person familiar with the project being nominated, yet who was not directly involved.

* First and Last Name:

* Title:

* Company:

* Telephone:

* Email:

* Your Relationship to Nominated Project:

* How did you hear about the Ingenious Awards Program?

By checking this box, the nominator acknowledges they have read and agree to the following terms and conditions:

The information in this nomination form is truthful, complete and accurate, and fully complies with the Ingenious Awards Program eligibility criteria.

By submitting this nomination form I/we consent to the release and use of the information provided in the nomination for publicity purposes. This includes, but is not limited to: inclusion in the Ingenious Magazine (print & online), posted on the Ingenious Awards website, include in media releases and in other promotional materials.

If additional information is required during the judging process we will contact the nominator.

If you have any queries, please contact Christine Leonard ().

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