Industry Awards Application FormPlease ensure the attached judging criteria are considered when addressing this application.

Please indicate the Award(s) for which you are applying C.Y. O’Connor Award for Excellence in Engineering and TechnologyMarketing and Design Excellence Award

1. Details of the Organisation applying for the award. For Joint Venture applicants, please complete Section 7.

Organisation name: (This will be the wording you wish to be used in publicity and on the Award Trophy)

Trading name:

Address: Postcode:

Telephone: Facsimile: Year established:

Company ABN: Email:

Chief Executive

Name: Title:

Awards Contact

Name: Title:

Telephone: Facsimile: Email:

Number of Western Australian based employees at 30 June 2018:

Approximate turnover in Western Australia per annum:

Is the applicant a subsidiary or division of another organisation: Yes No

If “Yes” please complete the following details:

Parent Organisation name:

Chief Executive name: Title:

Parent Organisation address: Postcode:

Telephone: Facsimile: Email:

Proportion of parent organisation’s revenue in Western Australia represented by applicant: $

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The WA Industry & Export Awards are proudly managed by the Export Council of Australia (ECA) on behalf of the Department of Jobs, Tourism, Science & Innovation.

For any questions and assistance please contact the ECA at waawards@export.org.au or phone 08 6141 3139.

2. Financial Details

If your 2017–18 figures are estimates, please put “(e)” after the figures.

2015–16 2016–17 2017–18

Net Profit (after tax)

Assets: Current

Non Current

Total Assets

Liabilities: Current

Non Current

Total Liabilities

2.1 Have you received any Government Grants or Funding in the past three years?. If yes, please provide details and amounts and the purpose of the grants (200 words).

2.2 Please provide additional information that explains any unusual financial results (200 words).

3. Description of products and/or services applicable to the award category entered (200 words).

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4. Answer the following questions, applicable to each category you have entered.

C.Y. O’Connor Award for Excellence in Engineering and TechnologyIn addressing the judging criteria (see attached), demonstrate how your technology, innovation or research project has:• Demonstrated innovation and technical excellence.• Improved competitiveness, higher returns, higher productivity and flow on benefits through its implementation.• Utilised WA local expertise.• Applied commitment to quality and vision in innovation and R&D.

(500–600 words)

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Marketing and Design Excellence AwardIn addressing the judging criteria (see attached), demonstrate how your marketing and design has:• Identified its markets and customer needs and demonstrated applicability in the product.• Strategies employed to address the scale and complexity of the task.• Captured this market and the results (effectiveness or ROI) from its adoption.• Showed innovation and creativity in the development and implementation of the product/service design and

marketing approach.

(500–600 words)

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5. Detail any additional factors that you deem relevant to the award application (300 words).

6. Declaration of Applicant

I certify that the particulars given are correct to the best of my knowledge and belief.

Address: Postcode:

Telephone: Email:

Signature: Date:

7. Details of the Joint Venture Parties applying for the award

Joint Venture name: (This will be the wording you wish to be used in publicity and on the Award Trophy)

Trading name:

Address: Postcode:

Telephone: Email:

Company ABN Year established:

Joint Venture Chief Executive - name: Title:

Telephone: Email:

Awards Contact

Name: Title:

Telephone: Email:

Number of Western Australian based joint venture employees at 30 June 2018:

Approximate Joint Venture value in Western Australia per annum:

Total Value of Joint Venture: $

Please list each party to the Joint Venture (exactly how they should appear on Award):

1.

2.

3.

4.

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Industry Award Categories

C.Y. O'CONNOR AWARD FOR EXCELLENCE IN ENGINEERING AND TECHNOLOGYFor excellence in engineering, technology, medical technology, information technology and/or technical research and development.Judging CriteriaPlease include a statement covering the performance of the business against each of the judging criteria listed below:1. Evidence of a continuing level of

technical excellence in engineering, technology, medical technology, information technology, technical research and development. Please provide a brief outline of the technology or the research project.

2. Demonstrated commercial returns, plus forward estimates where relevant. Evidence of improved competitiveness in national and/or international markets including any identified flow-on benefits to other business activities or sectors of industry.

3. Evidence of innovation, entrepreneurship, commitment to quality and vision.

4. Evidence of higher productivity resulting from the application of technology, and integration of technology into business practices.

5. Demonstrated implementation of research and development.

6. Evidence of a sound capital base including:• sustainable net worth (total assets

minus liabilities);• sound gearing (debt/equity ratio

within acceptable limits for the relevant industry norm); and

• sufficient working capital (cash flow and financial resources).

7. A summary, not exceeding one typewritten page, detailing any additional factors the applicant considers relevant to their application for an award. This can include the demonstration of how local Western Australian inputs (as opposed to imported content and expertise) have been applied throughout the firm's business processes.

MARKETING AND DESIGN EXCELLENCE AWARDFor outstanding achievement or excellence in a marketing campaign or implementation of design.Judging CriteriaEntries are invited from organisations which have designed and implemented marketing activities during the last year, or who have undertaken design and implemented the marketing of that design work.Entries will be judged by reference to the underlying design or marketing approach to a product or service, its innovative qualities, target market research, strategic planning, eventual impact and financial results.Please include a statement covering the performance of the business against each of the following judging criteria:1. Evidence that the organisation has

identified its markets, accurately determined customer needs and perceptions, and incorporated this information into a product/service design or marketing approach.

2. Evidence that the organisation has a demonstrated commitment to design or marketing excellence and product/service quality.

3. Evidence of innovation, creativity, and ingenuity in the development and execution of the product/service design or the marketing approach.

4. The strategies employed to address the scale and complexity of the task.

5. Results:• Effectiveness and impact of the

design or marketing campaign; and

• Return on investment (and forward projections of the economic impact where applicable).

6. Evidence of a sound capital base including:• Sustainable net worth (total assets

minus liabilities);• Sound gearing (debt/equity ratio

within acceptable limits for the relevant industry norm); and

• Sufficient working capital (cash flow and financial resources).

7. A summary, not exceeding one typewritten page, detailing any additional factors the applicant considers relevant to their application for an Award. This can include the demonstration of how local Western Australian inputs (as opposed to imported content and expertise) have been applied throughout the firm's business processes.

Note: Please do not send large quantities of promotional or other supporting material such as case histories, advertising, catalogues, videos, brochures or annual reports.

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