IoD Scotland Director of the Year Awards - 17 March 2016

Nomination Form for the Non-Executive Director Category

Nomination Requirements & Guidance:

  • Please complete all of the sections below (nominee and nominator details, section 1 and section 2) and return the completed form by email to no later than Thursday 14 January 2016
  • Please include a Financial Summary for each of the companies your nominee is aNon- Executive Director
  • Relevant facts, figures and evidence, e.g. year-on-year comparisons, growth in staff numbers or exports score more highly with the judges than general statements and anecdotes.

Nominee

Name:
Email:
Address:
Telephone:

Nominee’s Date of Birth (to assist Edinburgh Napier University with their company research)

Nominator

Name:
Designation:
Organisation:
Email:
Address:
Telephone:
Professional Relationship to nominee (if any)

Section 1

Please provide a response against the following for each of the companies your nominee is a Non-Executive Director:

Organisation 1

Name Organisation
Description of business
Year Company was established (if known)
Year nominee joined company as an NXD
Organisation’s Website
The nominee’s role in improving the organisation’s performance in the last 12 months (100 words max)

Organisation 2

Name Organisation
Description of business
Year Company was established (if known)
Year nominee joined company as an NXD
Organisation’s Website
The nominee’s role in improving the organisation’s performance in the last 12 months (100 words max)

Organisation 3

Name of Organisation
Description of business
Year Company was established (if known)

Year nominee joined company as an NXD

Organisation’s Website

The nominee’s role in improving the organisation’s performance in the last 12 months (100 words max)

Organisation 4

Name of Organisation

Description of business

Year Company was established (if known)

Year nominee joined company as an NXD

Organisation’s Website

The nominee’s role in improving the organisation’s performance in the last 12 months (100 words max)

What makes this individual an outstanding Non-Executive Director (200 words max)

Demonstrate the nominee’s individual achievement, initiative, experience, drive and commitment to responsible and sustainable business practice that have contributed to the success of the business organisation(s) in 2015.

I have attached a financial summary (or equivalent) for the organisations at which this nominee is a Non-Executive Director:

Yes / No*

*please delete as appropriate

Section 2

Please provide a maximum of 100 words for each of the organisations your nominee is a Non-Executive Director against question 1 below and, in addition, a short summary against question 2, to further support your entry.

1. List of current companies for which the nominee is a non-executive director:

Name of Company / Brief description of key inputs and outputs in 2015**

** Example of Key Inputs:

Performance of company; nominee’s role in improving company performance; strategic leadership and future planning input; and contribution to robust corporate governance.

2. Outline of the nominee’s contribution to the profession of directorship in 2015

I confirm that, should my nomination win one of the IoD Scotland Director of the Year Awards, and assuming that it meets the criteria for a suitable category, my nomination may be put forward for the IoD UK Director of the Year Awards.

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