Social Enterprise Scotland Awards 2012

Application Form

Please read the accompanying awardsinformation sheetto check eligibility and criteria before completing this form.

Section A:Use this section to provideus with information about the social enterprise entering into the awards (or the person or organisation you are nominating for an award)

Your organisation’s details(if you are nominating an organisation or person, only complete the grey shaded areas about yourself and your nomination, as the other sections are not relevant. For all other applications, please complete the whole of section A).
Organisation name:
Registered Company number:
Date social enterprise established: Date started trading (if different):
Main contact name: Job title:
Email address: Telephonenumber:
Correspondence address:
Postcode:
Please state how many employees you have: Full time Part time Volunteers
Finances for the last two years: 20__ - 20__ 20__ - 20__
Overall income £ Overall income £
Trading income £ Trading income £
Profit after tax £ Profit after tax £
If you are nominating a person or organisation for an award, please complete the following
Name:
Organisation:
Job title:
Contact details:

For Social Enterprise Categories ONLY:

Organisation trades primarily for social or environmental purposes? / Yes * / No
Hold assets within your company for the achievement of social purposes? / Yes / No
Earn at least 50% of your income through trading?(this can be 25% for the Youth-led SE, Start-Up or SE Town awards) / Yes / No
Commit at least 50% of your profits towards meeting your social or environmental aims? / Yes / No
If you answered no to any of the above questions, please do not complete the application as unfortunately you will not be eligible to enter the awards. Please do feel free to talk to us about what you can do to ensure that you can enter the awards next year.
If you answered yes to all of the questions above, please carry on to the next section.

*Double click on the grey box and click the ‘checked’ box

Section B: Use this section to tell us which award isbeingapplied for. Please tick the appropriate box(double click on the grey box and click the ‘checked’ box). As an organisation you can enter more than one award category.

AWARD CATEGORIES
Categories 1 to 5 will have heats* in England, Northern Ireland, Scotland and Wales - with the winners of each heat competing in the UK finals.
Categories 6 to 14 are open to all, with no heats.
Category 1
Social Enterprise Leader / Category 8
Social Enterprise Town
Category 2
Start-Up Social Enterprise / Category 9
Social Enterprise Champion
Category 3
Scottish/UK Social Enterprise / Category 10
Finance/Investment Deal
Category 4Social Enterprise Supporter / Category 11
Employee/Volunteer
Category 5 (*not open to Wales)
Youth-Led Social Enterprise / Category 12
Social Enterprise Transition
Category 6
Evidence of Impact / Category 13
Innovation:Best new product/service
Category 7
Social Entrepreneur / Category 14
International Social Enterprise

Section C:Your application answers

Tell us about the organisation or person you are nominating (if applicable to your award entry)
Describe the organisation you are nominating – what it does, what its social mission or its vision is, how long it has been established, where it is, and what size it is. If it is a person please give their name, what they do, how they do it and how long they have been doing it.
200 words maximum.
Your response:
Why you, your organisation or your nominee should win the award?
Describe the reason why the organisation or person should win the award. 200 words maximum.
Your response:
The evidence
Please provide evidence to substantiate the award nomination (please refer to the criteria on the information sheets). 200 words maximum.
Your response:
Anything else relevant to your application?
Please tell us anything else that is relevant to your organisation that has not been covered, that supports your nomination. 200 words maximum.
You can also send testimonials, annual accounts/report and evidence of impact reports or anything else that is relevant to support your application (two documents or provide a link to your website).
Your response:
DECLARATION:
This must be completed by a director or board member.
By submitting this form you are declaring the information you have given is a true and accurate representation of your organisation. If any of the information is found to be incorrect that affects your eligibility for a social enterprise award, Social Enterprise Scotland and Social Enterprise UK have the right to withdraw your entry.
Name:
Position:
Date:

To Apply:

For Scottish entries in categories 1-5, please complete the application form and return to

For UK entries in categories 6 – 14, please complete the application form and return to