Promoting Investment and Trade between the United States, Jamaica and the Region
AMCHAM JAMAICA - The Jamaica Pegasus, 81 Knutsford Blvd - Kingston 5 Tel. (876) 929-7866 Fax. (876) 929-8597
AmCham Jamaica Logo and Branding Notice: The names "AmCham Jamaica" and "American Chamber of Commerce of Jamaica" and the AmCham Jamaica logos (brand mark including symbol, AmCham logotype, Jamaica adjective and associated colors) are the exclusive property of AmCham Jamaica and may not be used for any purpose by any entity or individual without the express written permission of AmCham Jamaica. For further information contact: amcham@cwjamaica.com
Tuesday, September 27th, 2011
BUSINESS AND CIVIC LEADERSHIP AWARDS 2011 NOMINATION FORM FOR:
This form must be completed by those who wish to make a nomination for the category of the AMCHAM Jamaica Award for Outstanding Corporate Social Responsibility only, and the box above should be so marked.
IMPORTANT NOTE: Please ensure that before completion of this Nomination Form that you read carefully, understand and are confident that your Nominee qualifies for these Awards and meets the criteria set out in the “Overview and Criteria” document related to this Award program. If you have not, please contact our Offices to access that information, otherwise your submission will not be reviewed by our judges. The judges will make their decisions solely on the information submitted with this nomination and the judges’ decision is final.
Complete and submit this form. We will confirm the receipt of your Nomination Form by email or phone call within (2) working days after receipt. If you do not receive confirmation please phone the AMCHAM office. Please read your entry carefully before submitting as the language may be used in promotions of our program. If you have any enquiries, please contact our office, via phone or e-mail.
THE DEADLINE FOR THE SUBMISSION OF NOMINATION FORM IS:
FRIDAY, SEPTEMBER 9th, 2011, at 4:00pm
BUSINESS BEING NOMINATED:
OR:
Managing Director/CEO/Owner: Name:
Title:
Date Established:
Years of Ownership:
Company Registered in Jamaica:
TRN:
Legal/Tax Structure:
SME:
Number of Employees: Annual Sales 2010 (optional):
Mailing Address:
Physical Address (if different from above):
Telephone:
Fax:E-mail: Website:
Fax:E-mail: Website:Brief Profile of Business Being Nominated: (100 words or less)
Tell the Story: (250) words or less Please give a brief description of the nominee’s Corporate Social Responsibility program. Identify the aims and objectives of the program and the difference it has made. If your nomination is selected as a finalist, this language and information may be publicized so please ensure that it as compelling as possible.
Business Strategy: (150 words or less) Describe how the program supports the overall business strategy. Explain how the program leverages the company’s core competencies to ensure the stakeholders (shareholders, employees, customers) benefit, and the financial implications of the program to the Company.
Evaluation and Impact: (500 words or less). Identify the principal immediate and long-term social and economic benefits and the metrics used to evaluate them – measurable results. And, include a third party testimonial – e.g.: testimonial from person benefiting from the program.
Nominator’s Name:
Company/Organization (If applicable): Title:
Title:Address:
Phone:Fax:E-mail:Website:
Fax:E-mail:Website:PLEASE NOTE:
Additional supporting documentation, Annual and Financial reports are required for this Nomination category. Photos, videos, DVD’s are encouraged.
These items should be delivered along with a hard copy of this Nomination Form to the AMCHAM office, will become the property of AMCHAM, and as such, will not be returned.
