Category

2018 Responsible Employer

Category

2018 Responsible Employer

Award for Companies that Champion their Employees’s Wellbeing, Development and Engagement

What should the nomination be about: This category recognizes remarkable program/project/initiative, which company implements over and above statutory obligations, aimed at physical, mental and social well-being of the employees, providing equal opportunities and creating good and fair working conditions, promotion of employee’s education and satisfaction.

To be recognized as a winner in this category means that a company has policies, programs, and management system in place that shows that it values its employees and respects them.

ENTRY FORMCompany Name

Nomination Titleenter the title of the program/ project/initiative you nominate ...

If successful, we will use the company name and nomination title as written here on any award materials (certificates, press releases), so please ensure you write your company name and nomination title in full how you would like it published.

Main theme of your nomination Please tick from the list below the theme/topic which suits your nomination best.

□ Employees’ development and education □ Health and safety at work□ Diversity and inclusion initiatives□ Family friendly workplace □ Social protection □ Work climate and employee participation □ OTHER: If your project does not fit into any of the above topics, please add your own theme/topic: _________________________________________________________________________________

You can indicate in the “comment” box below, if you consider that your nominated program/project/initiative to certain extent also relates or contributes to another theme, except for the selected one.Fill in the box:

Category

2018 Responsible Employer

Please note: The award is conferred per category (not per theme). Indication of the main theme is obligatory for the evaluation reasons. It helps Jury to understand how company position its nomination within CSR landscape and what was the specific purpose of the nominated program, project or initiative.

CONTACT DETAILS

Main contact person

This person will be the main point of contact for all correspondence, enquiries or updates concerning your submissionFull Name:Position:Telephone number:Mobile number:Email:

Secondary contactPlease let us know whom we can address concerning the entry in your absenceFull Name:Position:Telephone:Mobile:Email:

If your contact information changes after submitting an application, it is your responsibility to amend your details with Contest Organizers.

SECTION I - COMPANY DETAILS This section is not scored but provides assessors with a good understanding of the overall business of the company in a wider context and its impact on society. Application forms missing this information will not be accepted.

Date of foundation of the company

We are a subsidiary of a foreign /Global company

□ YES □ NO

If yes, indicate the name of the parent company and year of beginning of operations in Georgia

Company Address

Legal form

Category

2018 Responsible Employer

Full name and job title of company Chief Executive (or equivalent)

Number of employees (approximately)

Annual turnover □ Less than 1 million GEL□ From 1 million up to 12 million GEL□ From 12 million up to 60 million GEL□ More than 60 million Gel

The primary brands, products, and services

Geographic coverage

Does your company have a statement of the company’s mission & values (please indicate URL if relevant)

□ Yes □ No

Does your company have a code of ethics? (please indicate URL if relevant)

□ Yes □ No

Does your company publish annual financial reports? (please indicate URL of the most recent one, if relevant)

□ Yes □ No

If in 2017-2018 your company published sustainability /CSR report please indicate URLs

If your company is part of the multinational company – please present the URL of the global sustainability report (if any)

Who is responsible for coordination of CSR activities in the organization - there is a CSR coordinator; CSR activities are coordinated by PR manager/Marketing manager/HR manager, other (please specify)

Please indicate, if your company is a member of any local or international network aimed at CSR promotion, e.g. Global Compact, CSR Club, AmCham CSR Committee, Georgian Pro Bono Network etc. (please list all)

Company webpage

Official Facebook/LinkedIn page

Twitter handle (if any) @

Category

2018 Responsible Employer

Company logo: please submit a high-resolution version of company’s business logo – upload logo on the google drive and share the link here:

Fill in the box:

Quotation of the CEO or equivalentPlease provide a quote from your CEO (or equivalent) why responsible business is important for the nominated company and for him/her personally (max. 100 words).

This point is not obligatory; however, it is very much appreciated to help assessors understand the support provided from the top of the organization. If submitted, quotation could be published in various award materials (such as web-page, information brochures etc.)

Fill in the box:

N.B make sure you get in your request for this early on in the process to accommodate your CEO’s (or equivalent) diary/ sign off process.

End of non-scored section.

SECTION II

Description of the program, project or initiative you are nominating

This is a scored section. In this section you have to describe a program, project, or an initiative in the selected area which took place in 2017-2018 and which you wish to nominate for the Award. It should be already completed, or well in progress, with some results already in place, and others clearly on track. If you are implementing this program/project already for several years, you should present specific activities and results for 2017-2018. Please, describe in sufficient detail for Jury to understand and evaluate what did you do and why you did it, how it was successful and what it has changed for the better, what’s distinctive in this project, why it is unique and why it deserves the Award.

General Information:

Project status (what stage has your project reached?) □Ongoing□Completed

When did the project start and what was the duration?

Start date: ____________________________________________________________________________

For the completed projects indicate date of completion: _______________________________________

Category

2018 Responsible Employer

a) Summary (max. 400 words) Be sure to briefly reflect all important aspects of your nominated program/project/initiative in the Summary. This statement should be written with the expectation that it will be published on the Contest’s website and in the communication materials.Fill in the box:

b) Description of the nominated program/project/initiative

Please cover the following aspects of your project, as these will form the basis of assessment by the Jury:

1. Planning (300 words max. Weight - 20% of total score) Please Clarify a story of this idea from the beginning and set out clearly : What was the problem/challenge you wanted to address with this project? How did you identify the problem you wished to address and why did you select this particular problem? What strategy you selected to address this problem? What were your main goals from the business standpoint (how the project is linked to company’s business and its overall strategy?) In the case of international corporations, please specify - is the selected project part of the CSR strategy of the headquarters abroad? What specific contribution was added by the Georgian branch?

Fill in the box:

Assessed: Correct problem identification (through analysis and stakeholder communication); Relevance and efficiency of the strategy/solution selected for the problem.

2. Implementation (500 words max. Weight - 30% of total score) Describe the main activities of the nominated program/project/initiative: what did the project involve doing? Who were the people/parties involved in the project and how? If you had partners in this project, describe briefly, who were these partners, what was their role and what was yours? What resources did you invest in the project: please list money, human resources, goods, or any other resources. How was the project set up and managed? How did you communicate about the project? Did you face any challenges during the implementation? If you consider your project as innovative, it applies new or novel solutions to the problems, please describe and substantiate.

Fill in the box:

Category

2018 Responsible Employer

Assessed: Complex and strategic approach (in terms of activities, resources invested and strategies applied); effective management; engagement of the partners, employees, and other stakeholders, communication about the project.

3. Results and social impact (500 words max. Weight - 30% of total score) Describe what results you have achieved? Provide specific examples, explaining how the nominated project has contributed to addressing the target problem? who benefited from the project results and how? what was the initial state of things, and what has been improved by the company's support? Describe, what positive impact project had on your business (if any). Briefly describe what you do for the sustainability of your project, how you ensure that positive results will sustain when the project is over? How will you develop the project in coming years or if the project is completed, do you have further plans related to this issue? Please try to quantify, wherever possible and applicable, the benefits that the project provides, indicate numbers and measurement results, present evidence of measurable impact/benefits where possible. This is a key opportunity to put forward the strength of your entry.

Fill in the box:

Assessed: achieved results and real change; sustainability of the project results; potential for further development.

Section III - Overall approach, workplace policies and performance

(500 words max. Weight - 20% of total score) Describe overal approach of company to employee care: communication, employee engagement, training and assessment, support of personal life, corporate culture, atmosphere, safety, benefits, special programs etc. Which topics do you focus on and why? List/briefly describe other projects aimed at employee well-being implemented during 2017-2018 and results achieved. Quantitatively summarize, where feasible. Describe briefly relevant management systems (if any). You can refer to policy documents, codes of conduct, purpose and value statements, non-financial reports, and other documents demonstrating your responsible business approach, where feasible. Try to demonstrate your vision and ambition for the future, as well as sharing your approach to date. Members of the Jury want to see responsible business integrated in your core business strategy and culture.

Fill in the box:

Category

2018 Responsible Employer

Assessed: existence of the consistent responsible workplace policy and practices; efficient management systems; comprehensiveness of the approach (strategic approach); overall performance - projects implemented, results achieved.

Please note: You do not have to provide equally detailed answers to all above questions to submit an

entry. Provide as much information as available.

During the evaluation the scale of the activities and results will be assessed in relation to the size of the company.

You are welcome to include in the above sections information about other factors which, in your opinion, may influence decision of the Jury.

When completing your entry, please refer also to the Evaluation Scoring Guide, available at: www.meiora.ge

Section IV - Links and evidence (optional)

This part is not obligatory, however submitting evidence and proofs for your project will help the Jury to properly asses your entry and increases the chances of winning. Please submit any materials about the project that you have (documents, photos, videos, url) to illustrate the content of your nomination and results achieved. All file types are accepted only as a soft copy.

When providing photos, please provide high resolution photos; When providing the extensive documents, please indicate exact pages that you would like the Jury to pay attention to; You can also include relevant URL links to supporting evidence in the main text of the Entry, next to the point the evidence supports.

Please be as specific about page number of the submitted attachment or video timeframe as possible. Jury will not be able to read full extensive documents, so it is important to signpost the most relevant aspects of any evidence provided.

Please upload all your supporting materials on google drive, bound in a package/folder and share the link:

Fill in the box:

Category

2018 Responsible Employer

Final StatementsConfidentiality

Let us know here if you would like some aspects of your entry kept confidential

□ I do not want to keep any aspect of my entry confidential

□ Please keep confidential following parts of my entry ________________________________________

Mandatory requirements:

The company has not been legally convicted in the past three years in connection with its business activities.

The activities described in the nomination comply with the legislative requirements of Georgia.

Cases:If the company has been linked with some scandals for the past three years (2016-2018), please describe it in no more than 300 words and comment the position of the company (Evaluators often have critical information about business cases from the media, and the Nominated Companies also have the opportunity to present their views so the Jury can judge the nomination objectively):

Fill in the box:

DECLARATION OF THE COMPANY

Please attach to your submission the scanned Declaration of the Company signed by Chief Executive (or equivalent), or person responsible for the nomination)

Name of the company: _______________________________________________________________

We declare that all information contained in this application is accurate and fairly presented. We agree with nomination of the company for the Georgia’s Responsible Business Awards 2018. We agree to abide by the rules of the Awards, including the understanding that the Jury’s decision is final and that no correspondence will be entered into regarding their decision.

Category

2018 Responsible Employer

By entering the Awards, we agree to take part in publicity and promotion of the event. We also understand that our entry may attract media attention and we are willing to cooperate with the media to promote our organization, the Awards and the successes of responsible business in Georgia.

Entry authorized by:

Name of the CEO (or equivalent) /person responsible for the application: ________________________________________________________

Position: ________________________________________________

Date and signature: _______________________________________

(You can also download the Sample of the Declaration here)

DECLARATION OF PARTNER(If you mention a significant partnership with a different organization in the nomination, the affiliate confirms that the information is true.)

Name of the organization _______________________________________________________________We declare that there is a correct information about our partnership in the nomination presented by (name of the nominated company) _________________ We agree with the company's nomination for Georgia’s Responsible Business Awards 2018 for the category (category name) __________________

Name of the person representing partner

_______________________________________________________

Position: _______________________________________________

Phone number: _________________________________________

E-mail: ________________________________________________

Date and signature______________________________________

(You can download the sample of the Partner’s Declaration he re )

Please be sure to complete all sections. Incomplete applications would not be considered

How to apply

Download the Entry form, fill it in and send us a completed form in word doc format along with the attachments to the following email: csrawards@meliora.ge no later than Friday, 5 October 2018, 18:00.

Please refer also to the Guidelines for the Applicants and Terms and Conditions for further supporting information.