Sage AWARD ENTRY FORM

Thank you for your interest in applying for the second annual Sage Award. If you have questions regarding the award or application, please contact Pat Bowling at 336/881-1006, or Sageaward@ahfa.us.

There are THREE PARTS to a Sage Award Entry:

Part 1: Cover Page
Please provide all company contact information requested. The cover page is the ONLY place your company name should appear. Upon receipt of the completed Cover Page, Executive Summary and Detail Questionnaire, your entry will be assigned a code number, and the cover page will then be separated from the rest of your entry until the judging is complete.

Part 2: Executive Summary The executive summary will be used in the first stage of judging to determine which entries will go on to the second and final round of judging. Do not write your company name or brand name anywhere in this document. Do not include confidential information in the summary. If you are a user of bio-based foam, do NOT state what brand of foam you use.

The summary should be 750 words or less and should begin by briefly describing your company’s primary business. The balance of the summary should provide an overview of your company’s sustainable business practices and social responsibility activities. Please use the “word count” tool (typically found in the “tools” menu of Microsoft Word) to check your length.

Part 3: Detailed Questionnaire The questionnaire will provide the detail necessary for judges to complete their final selection of the 2009 Sage Award winner. Again, do not write your company name or brand name anywhere in this document. Do not include confidential information. If you are a user of bio-based foam, do NOT state what brand of foam you use. Read the questions carefully, and include only the information requested. You will have an opportunity at the end to provide additional commentary not covered by the specific questions.

All three documents must be received electronically via email by midnight Eastern Standard Time on Friday, September 4, 2009.

Send documents to sageaward@ahfa.us. ONLY ELECTRONIC SUBMISSIONS WILL BE ACCEPTED. Do not mail or fax your entry.

QUESTIONS? Contact Pat Bowling at 336/881-1006, or email pbowling@ahfa.us.

THE ENTRY FORM BEGINS BELOW. THERE WILL BE A COMBINATION OF DESCRIPTIVE TEXT AND QUESTIONS TO BE COMPLETED IN BOXES. PLEASE CONTINUE SCROLLING DOWN WHILE COMPLETING EACH SECTION. WHEN YOU ARE SATISFIED WITH YOUR ANSWERS, PLEASE CLICK ON THE SUBMIT BUTTON. THANK YOU.

PART 1: COVER PAGE
This is Part 1 of THREE required components for a complete Sage Award entry.

Company Name:

Physical Address: (Separate by commas.)

Primary Telephone:

Fax:

Company Website:

SUBMITTER'S CONTACT INFORMATION
The submitter must be an employee of the business named above.

Name:

Title:

Address (if different from above):

Business Phone (with extension, if applicable):

Email:

Certification:
I have read the Entry Criteria for this award and agree to abide by the Entry Requirements. All information contained in this application is accurate and up-to-date.

Name:

Date:

PART 2: EXECUTIVE SUMMARY
This is Part 2 of THREE required components for a complete Sage Award entry.

This Executive Summary will be used as the basis for the first stage of judging and will determine which entries progress to the second round of judging. DO NOT include your company name or employee names in this document. DO NOT include the brand name of your foam if you use a bio-based foam. Please refer to your organization as “our company” or “we” and refer to your employees by their titles. This summary must be no more than 750 words and should answer the following questions:

  1. What is your primary business?
  2. How long have you been in business?
  3. What are your overall business goals and objectives?
  4. What is the role of sustainable business practices and social responsibility in your overall business goals and objectives?

You may conclude by stating briefly how these activities have impacted your company’s growth and profitability, if at all.

Executive Summary:

PART 3: DETAILED QUESTIONNAIRE
This is Part 3 of THREE required components for a complete Sage Award entry.

Please answer each of the following questions. DO NOT include your company name or employee names in this document. DO NOT include the brand name of your foam if you use a bio-based foam. Please refer to your organization as “our company” or “we” and refer to your employees by their titles.

Company Details.

What is your primary business?

How long have you been in business?

What are your overall business goals and objectives?

Sustainable Business Practices.
Choose at least two of the following categories and describe your initiatives in your organization’s sustainable journey. Be sure to note when, how and why practices were instituted. Please limit your answer to a total of 700 words or less.

  1. Organizational policies/procedures inside the organization related to sustainability, such as recycling, conservation, lower energy usage, promotion of employee carpooling, etc.
  2. Environmental impact programs and initiatives within the organization’s business operations and/or manufacturing operations that are designed to positively impact the environment, such as reducing energy usage, reducing water consumption, reducing waste, using recycled components, using certified sustainable components and any other steps designed to shrink the organization’s carbon footprint. (If available, please scan and send documentation such as life cycle analyses, charts, photos, etc. to help judges assess the scope of these practices to Sageaward@ahfa.us. Please remove any company logos from these documents.)
  3. Product design that promotes sustainability by addressing product lifecycle.
  4. Warehousing, shipping and/or other distribution practices that reduce the use of non-renewable energy in transportation.
  5. Supply chain practices designed to assist suppliers in the development and implementation of sustainability programs.
  6. Support of associations or organizations that manage programs focused on environmental outcomes.

Social Responsibility.
Describe and give examples of how your company has encouraged social responsibility through: corporate policies and procedures, corporate community involvement, support of individual employees’ community involvement and/or programs and policies that impact communities throughout the company’s entire supply chain (such as in countries where materials, components or products are sourced). Please limit your answer to 350 words or less.

Profitable Growth.
Describe the savings and/or profitable growth experienced as a result of sustainable practices. Please include specific dollar amounts or percentage savings where possible. Please limit this section to 250 words or less.

Is there anything else you’d like to share with our judges? (Limit this optional section to no more than 200 words, so the total length of your answers in Part 3 should not exceed 1,500 words.)

 
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