1st WIBA Excellence Awards "Uniting Women in Business"

1. 2015
WIBA AWARDS
ENTRY FORM
merge.Brands
A Mark Of Legacy
SPEAKS FOR ITSELF
DEE-
ZONE
Oasis Water
SPEAKS FOR ITSELF
WIBA Head Office (BOCCIM House) Old Lobatse Road, Plot 5196 Gaborone. Tel: +267 391 8866

2. AWARD RULES AND REGULATIONS
You can choose to either download or save the full application form for completion by hand, post
or
Complete the full application online and return it to us electronically.
Rules and Eligibility
• Must be female (s) making 100% shares or 51% shares if they are with a male counterpart.
• Female(s) in the business must hold the managing director or CEO position in the business if working with male counterparts.
• Entry is free and open to all Women in Business (Including non WIBA members)
• WIBA members will benefit a standard percentage(s) on the judging scorecard
• Nominees may be nominated for a maximum of 2 categories
• All entrants must agree to be interviewed for preliminary judging
• A company profile may be submitted (not compulsory)
• Finalists must be willing to show copies of their share certificate
• Finalists must be willing to share their annual financial report(results) if required
• Finalists must be prepared to make themselves available for interviews with the media
• All finalists must agree to take part in publicity and to attend the Awards presentation on Sunday 23 August 2015.
• All entries will automatically be considered for the overall Business Woman of the Year Award.
• Deadline for entries is Friday 26 June 2015.
• The judges’ decision is final
• Sponsors may not enter
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
You may self nominate or nominate someone you believe should be recognised.
SELF NOMINATION
Name of Organisation: ......................................................................... Name.............................................................. Date...............................
Directors ...........................................................................................................................................................................................................
Address..............................................................................................................................................................................................................
Telephone....................................................................................Email...............................................................................................................
Categories…………………………………………………………………………………………………………......................……………………………………….…..………
Paid Up WIBA Member
Yes / No.....................
Applicable to 3rd party nominations (where a person nominating is not the business owner)
Your Details
Title........................................................................... First Name.......................................................................................................................
Surname............................................................................................................................................................................................................
Address..............................................................................................................................................................................................................
Telephone......................................Email..........................................................................Categories……………....…………………………….……………
Your nominee’s background:
BUSINESS INFORMATION
Sector Agriculture
Tourism Arts & Crafts
Leather Textile
Construction Manufacturing
Mining Services
Informal
Other Sector (specify)..........................................................................................................................................................................................
Have you ever won any awards, whether personally or for the business?
If yes Where?.....................................................................................................................................................................................................
Description of award?.........................................................................................................................................................................................
Awarding institution?..........................................................................................................................................................................................
FINANCIAL BACKGROUND
How was your business financed?
Self
Part Financed
Completely 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 ..................................................................
Annual Turnover (Pula)........................................................................................................................................................................................

3. MARKET ASSESSMENT
Who are your target customers/clients?
Do you export?.................................................................... If so, which markets?...............................................................................................
What percentage of your materials or equipment do you source locally?...................................................................................................................
What mediums do you use to reach your market?
Newspapers
Radio
Social Media
Word Of Mouth
HUMAN RESOURCES
Percentage of Local.....................................................................................................................................................................................
Percentage of Women.................................................................................................................................................................................
Employees
0 – 5
6 – 10
11 – 30
31- 50
50 +
Please provide your company profile and any other supporting documents
Innovator of the Year: This category will recognize unique products, services or business models developed by female led organisations to resolve market needs. The innovation would be one that the
market has “subconsciously” been waiting for, judging by the response.
What has this woman invented or enhanced an existing product or service in a unique way?
………………………………………………………………………………………………………………………………………………………………………………………………………………..…………..…………………………………………
………………………………………………………………………………………………………………………………………………………………………………...................................……………......................................…………
Young Female Entrepreneur of the Year: This category will recognize the achievements of female entrepreneurs under the age of 35.
Tell us how she started?
…………………………………………………………………………………………………………………………………………………………………….…………………………………………..…………..…..……………………………………
……………………………………………………………………………………………………………………………….............................…….…………………...…………….........…………………..…................................…………
Inspirational Woman of the Year: Women who began humbly and conquered many challenges whilst remaining steadfast in their area of specialization. She would be now adding value to the society as
a role model with an outstanding business profile.
Tell us she has overcome a difficult challenge and yet remains positive?
……………………………………………………………………………………………………..…………………………………………………………………………………….………………………..…………..……………………………………
………………………………………………………………………………………………………………….................................................................……………...…………….…………………..……................................………
Social Entrepreneur of the Year: An entrepreneur who has encouraged participation of community members, especially women in empowering themselves.
How has she empowered women in her community to be self sustained ?
…………………………………………………………………………………………………………………………………..………………………………………………………………………………………...………..………………………………
………………………………………………………………………………………………………………………………………...........................................................…………………………………..…................................……….
The Female Collaboration Award: This award seeks to recognize 100% female shareholders whose collaboration has yielded positive results, thus having their business recognized as a key market
player.
Share with us what you admire about these women working together.
……………………………………………………………………………………………………………………….....…………………………………………………………………………………………………..………………………………………
…………………………………………………………………………………………………………………………...................................………………………………...……………………………......................................……………
The Informal Business Woman Award: This award seeks to celebrate women who started with little or no formal business or educational background and have managed to sustain themselves
through growth in the trade of informal business.
Share with us how this woman has developed or grew from being an informal trader.
………………………………………………………………………………………………………………………..………………………………………………………………………………………………..……………………………………………
……………………………………………………………………………………………………………………......................................……………………………………......…………………………..…………....................................
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.
Forms to be returned to:
P O Box AD 102 ADD
Kgale View
Gaborone
Forms available at Department of Gender Affairs’ national offices Francistown, Gaborone, Ghanzi, Kanye, Kasane, Maun, Phikwe, Serowe, Tsabong.