2015WIBA AWARDS

ENTRY FORM

merge.Brands

A Mark Of LegacySPEAKS FOR ITSELF

DEE-ZONE

Oasis Water

SPEAKS FOR ITSELF

WIBA Head Office (BOCCIM House) Old Lobatse Road, Plot 5196 Gaborone. Tel: +267 391 8866

AWARD RULES AND REGULATIONS

You can choose to either download or save the full application form for completion by hand, postor Complete the full application online and return it to us electronically.

Rules and Eligibility

• Mustbefemale(s)making100%sharesor51%sharesiftheyarewithamalecounterpart.• Female(s)inthebusinessmustholdthemanagingdirectororCEOpositioninthebusinessifworkingwithmalecounterparts.• EntryisfreeandopentoallWomeninBusiness(IncludingnonWIBAmembers)• WIBAmemberswillbenefitastandardpercentage(s)onthejudgingscorecard• Nomineesmaybenominatedforamaximumof2categories• Allentrantsmustagreetobeinterviewedforpreliminaryjudging• Acompanyprofilemaybesubmitted(notcompulsory)• Finalistsmustbewillingtoshowcopiesoftheirsharecertificate• Finalistsmustbewillingtosharetheirannualfinancialreport(results)ifrequired• Finalistsmustbepreparedtomakethemselvesavailableforinterviewswiththemedia• AllfinalistsmustagreetotakepartinpublicityandtoattendtheAwardspresentationonSunday23August2015.• AllentrieswillautomaticallybeconsideredfortheoverallBusinessWomanoftheYearAward.• DeadlineforentriesisFriday26June2015.• Thejudges’decisionisfinal• Sponsorsmaynotenter

Your privacy is very important to us. Your personal information is kept confidential and only used for the purposes of keeping you up-to-date regarding the award programs and related events.

ENTRY FORM

Youmayselfnominateornominatesomeoneyoubelieveshouldberecognised.

SELF NOMINATION

NameofOrganisation:.........................................................................Name..............................................................Date...............................Directors...........................................................................................................................................................................................................Address..............................................................................................................................................................................................................Telephone....................................................................................Email...............................................................................................................Categories…………………………………………………………………………………………………………......................……………………………………….…..………PaidUpWIBAMemberYes / No.....................Applicableto3rdpartynominations(whereapersonnominatingisnotthebusinessowner)

Your DetailsTitle........................................................................... First Name.......................................................................................................................Surname............................................................................................................................................................................................................Address..............................................................................................................................................................................................................Telephone......................................Email..........................................................................Categories……………....…………………………….……………

Your nominee’s background:

BUSINESS INFORMATION

Sector AgricultureTourism Arts&CraftsLeather TextileConstruction ManufacturingMining ServicesInformal

OtherSector(specify)..........................................................................................................................................................................................

Have you ever won any awards, whether personally or for the business?IfyesWhere?.....................................................................................................................................................................................................

Descriptionofaward?.........................................................................................................................................................................................Awardinginstitution?..........................................................................................................................................................................................

FINANCIAL BACKGROUND

How was your business financed?

SelfPart FinancedCompletely Financed

Have you ever benefitted from any developmental program by Government e.g. Financial Assistance Policy (FAP), Local Procurement Program (LPP), LEA,Youth Grant etc?Name ......................................................................................................................................Year ..................................................................AnnualTurnover(Pula)........................................................................................................................................................................................

MARKET ASSESSMENT

Who are your target customers/clients?Doyouexport?....................................................................Ifso,whichmarkets?...............................................................................................Whatpercentageofyourmaterialsorequipmentdoyousourcelocally?...................................................................................................................

What mediums do you use to reach your market?NewspapersRadioSocialMediaWordOfMouth

HUMAN RESOURCES

Percentage of Local.....................................................................................................................................................................................Percentage of Women.................................................................................................................................................................................

Employees

0–56–1011–3031-5050+

Please provide your company profile and any other supporting documents

Innovator of the Year: Thiscategorywillrecognizeuniqueproducts,servicesorbusinessmodelsdevelopedbyfemaleledorganisationstoresolvemarketneeds.Theinnovationwouldbeonethatthemarkethas“subconsciously”beenwaitingfor,judgingbytheresponse.Whathasthiswomaninventedorenhancedanexistingproductorserviceinauniqueway?………………………………………………………………………………………………………………………………………………………………………………………………………………..…………..…………………………………………………………………………………………………………………………………………………………………………………………………………………………...................................……………......................................…………

Young Female Entrepreneur of the Year: Thiscategorywillrecognizetheachievementsoffemaleentrepreneursundertheageof35.Tellushowshestarted?…………………………………………………………………………………………………………………………………………………………………….…………………………………………..…………..…..…………………………………………………………………………………………………………………………………………………………………….............................…….…………………...…………….........…………………..…................................…………

Inspirational Woman of the Year: Womenwhobeganhumblyandconqueredmanychallengeswhilstremainingsteadfastintheirareaofspecialization.Shewouldbenowaddingvaluetothesocietyasarolemodelwithanoutstandingbusinessprofile.Tellusshehasovercomeadifficultchallengeandyetremainspositive?……………………………………………………………………………………………………..…………………………………………………………………………………….………………………..…………..……………………………………………………………………………………………………………………………………………………….................................................................……………...…………….…………………..……................................………Social Entrepreneur of the Year: Anentrepreneurwhohasencouragedparticipationofcommunitymembers,especiallywomeninempoweringthemselves.Howhassheempoweredwomeninhercommunitytobeselfsustained?…………………………………………………………………………………………………………………………………..………………………………………………………………………………………...………..………………………………………………………………………………………………………………………………………………………………………...........................................................…………………………………..…................................……….

The Female Collaboration Award: Thisawardseekstorecognize100%femaleshareholderswhosecollaborationhasyieldedpositiveresults,thushavingtheirbusinessrecognizedasakeymarketplayer. Sharewithuswhatyouadmireaboutthesewomenworkingtogether.……………………………………………………………………………………………………………………….....…………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………………...................................………………………………...……………………………......................................……………

The Informal Business Woman Award: Thisawardseekstocelebratewomenwhostartedwithlittleornoformalbusinessoreducationalbackgroundandhavemanagedtosustainthemselvesthroughgrowthinthetradeofinformalbusiness.Sharewithushowthiswomanhasdevelopedorgrewfrombeinganinformaltrader.………………………………………………………………………………………………………………………..………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………………......................................……………………………………......…………………………..…………....................................

Share with us how this woman has developed or grew from being an informal trader.……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………....................................…………………………………………………

Thank you for your response to our 1st Annual WIBA Excellence Awards Entries. Only shortlisted individuals will be contacted.

Formstobereturnedto:P O Box AD 102 ADDKgale ViewGaborone

FormsavailableatDepartmentofGenderAffairs’nationaloffices Francistown, Gaborone, Ghanzi, Kanye, Kasane, Maun, Phikwe, Serowe, Tsabong.