application form I. Why you? Eligibility II. About you and your workplace Guidance Notes A. About you Note 1 Note 2 Next page

Transcription

1 application form To fill out the application form please use the latest version of Acrobat Reader. When you download the form, open it onto your desktop and as you fill in the information, save along the way and make a final save once your application is complete. Where indicated, please refer to the before answering. There is space at the end for Supplementary Information. I have read and accept the terms and conditions of application: Yes No I. Why you? Eligibility 1. Are all staff employed to manage and operate this workplace paid the Living Wage? (See Notes 1 & 2) Yes No 2. Do all staff employed to manage and operate this workplace have the right to representation? (See Note 2) Yes No 3. Is there a target to reduce per capita carbon emissions over a three year average for this workplace? Yes No 4. Where applicable are the landlord (or managing agent) and tenant working co-operatively together to make this workplace fair to people and good to the planet? Yes No If you have answered No to any of the above but are in the process of implementation please contact us, as you may still be eligible to apply. II. About you and your workplace Note 1 This applies to all staff or contractors who work on your premises for two or more hours a day for eight or more consecutive weeks of the year. Visit Living Wage Foundation Note 2 The right to representation is through membership of a union, staff association or other formal body. A. About you This section should be completed by the person making the application. We will use this information to contact you regarding your application. 5. Name 6. Job title 7. Organisation name 8. Workplace address 9. Tel. no fairplace award application form 1 of 12

2 B. About the workplace 11. What is the main use Shop Office of the workplace? Factory Warehouse Other (specify in Section VI) 12. Please describe the main functions and activities of this workplace. Note 3 If workplace is of mixed ages, give the age of the oldest part of the workplace. 13. How old is Less than 5 years 5-10 years the workplace? (See Note 3) years years More than 100 years 14. Is the workplace No heritage designation Grade I designated due to Grade II* Grade II its heritage value? In a conservation area Locally listed Other (specify in Section VI) Extent 15. Does this workplace occupy the whole building in which it is located? Yes No If Yes, go to 17. If No, go to 16, then Approximately what proportion of the Over 75% 50-75% building does this workplace occupy? 25-50% Under 25% Note 4 For industrial workplaces use the gross internal space. 17. What is the net internal area of Under this workplace in square metres? , (See Note 4) Over Occupancy 18. Name of applicant organisation 19. How long has the applicant Under 5 years 5-10 years organisation occupied this workplace? Over 10 years Continue on next fairplace award application form 2 of 12

3 20. How many organisations are One 2-5 based in this workplace? (See Note 5) Over Are these organisations involved in making this application? Yes No If Yes, go to 22 and then 23. If No, go straight to What are the names of these organisations? 23. How many people regularly work Under in this workplace? Note 5 If you are a landlord, give the number of organisations based in the workplace for which you are applying. If you are a tenant, give the number of organisations that sub-let space from you within the workplace. 24. How many people visit this Under workplace on an average day? Over 1000 More than 1001 Ownership 25. Who is the owner (or landlord if applicable) of the building in which this workplace is based? 26. If the applicant has a lease on the building, how long Under 5 years 5-10 years is this unexpired term? years Over 98 years Management 27. Please provide details of the individual who has overall responsibility for the management of workplace facilities. Name Job title Organisation name Continue to next fairplace award application form 3 of 12

4 Organisation address Tel. no Please provide evidence of where this individual sits in the organisational structure. (See Note 6) 29. Are the following functions in the workplace undertaken by directly employed staff or contractors? Tick all that apply: Function Directly employed Contracted to Cleaning Security Note 6 This can be an organogram (diagram of your organisation s structure); or the job description of the individual who has overall responsibility for the management of workplace facilities if that job description shows to whom that person reports. Catering Waste & recycling Maintenance Energy management Existing accreditation 30. Please provide details of any environmental or social accreditations or awards that this workplace has received. (See Note 7) Accreditation or award Level held Most recent date Note 7 Any other awards or accreditations that may be relevant can be entered in Section VI. BREEAM BREEAM in Use LEED LEED in Use EPC (Energy Certificate) DEC (Display Energy Certificate) Investors in People Living Wage Employer Other Continue to next fairplace award application form 4 of 12

5 III. Being fair to people: Social criteria 31. Are all staff employed to manage and operate this workplace paid the Living Wage? (See Note 8) Yes No 32. Do all staff employed to manage and operate this workplace have the right to representation? (See Note 9) Yes No section (e.g.) Salary.docx (e.g.) Page 4, section 2.3 Note 8 Staff employed are defined as including those who are directly employed and those who are employed by a contractor visit the Living Wage Foundation: Evidence could include your salary and its implementation, your plan for phasing in the Living Wage for third party contracted staff, the salary policies of companies providing contracted staff, or a statement from companies providing contracted staff. A. Pay and conditions 33. Do you have and operate the following in place for staff employed or contracted to manage this workplace? (See Note 10) Conditions of employment Training & development Pay section (e.g.) Salary.docx (e.g.) Page 4, section 2.3 (See ) Continue to next Note 9 The right to representation is through membership of a union, staff association or other formal body. Evidence could include your and practices on staff representation, or that of companies providing contracted staff, or a statement from companies providing contracted staff. Note 10 Evidence could include your salary, your template contract of employment, your staff handbook, or your employee development. is required mainly for applications to renew a fairplace award. Normally evidence of will be available through, and only after a relevant and have been in place for at least a year. fairplace award application form 5 of 12

6 B. User satisfaction 34. Do you have the following in place for staff employed to manage and operate this workplace, and for people working in this workplace e.g. individual staff of tenants and contractors etc. (See Note 12) (See ) Note 12 Evidence could include staff satisfaction survey results. Health and wellbeing Comfort Quality of workplace services See 5. section (e.g.) User satisfaction survey.docx (e.g.) Page 4, section 2.3 C. Accessibility 35. Do you have the following in place for staff employed to manage and operate this workplace, for people working in this workplace and for visitors? (See Note 13) Accessibility across a range of disabilities section (e.g.) Access.docx (e.g.) Page 4, section 2.3 (See ) Continue to next fairplace award application form 6 of 12 Note 13 We are looking for evidence of practical action which goes beyond statutory compliance so that over time, better access for individuals with an increasing range of disabilities is achieved. Evidence could include your equality, diversity and inclusion strategy, accessibility, or the access statement for the workplace and evidence of the implementation of the above. See 5.

7 D. Community usage 36. Do you have the following in place? (See Note 14) Availability of workplace to community groups Provision of services to local community section (e.g.) Community engagement.docx (e.g.) Page 4, section 2.3 (See ) Note 14 We are looking for evidence that there is a commitment to support the local community or charities by making space available e.g. meeting rooms at no cost or providing access to facilities such as cafes. The standard of commitment may depend on the primary usage of the workplace. Evidence could include your corporate responsibility or community engagement strategy, or job descriptions of staff responsible for community engagement and evidence of the implementation of the above. E. Social contribution 37. Do you have the following in place for staff employed to manage and operate this workplace? (See Note 15) Staff volunteering (See ) See 5. Note 15 Evidence could include your employee volunteering and practices, or approach to payroll giving for staff. Fundraising See 5. section (e.g.) Staff volunteering.docx (e.g.) Page 4, section 2.3 Continue to next fairplace award application form 7 of 12

8 F. Procurement 38. Do you have the following in place for good or services used in maintenance, refurbishment and cleaning, or included in any service charges? (See Note 16) Social impact Environmental impact (See ) section (e.g.) Ethical purchasing.docx (e.g.) Page 4, section 2.3 Note 16 Evidence could include your procurement or ethical / environmental purchasing and its implementation. See 5. IV. Being good to the planet: Environmental criteria 39. Is there a target to reduce per capita carbon emissions over a three year average for this workplace? (See Note 17) Yes No section (e.g.) Carbon management.docx (e.g.) Page 4, section 2.3 Note 17 Evidence could include your carbon or energy management plan, or energy or sustainability and practice. Continue to next fairplace award application form 8 of 12

9 A. Energy 40. Do you have the following in place for energy consumed in the operation of this workplace? Reduction of energy consumption (See ) See 5. Consideration of renewable energy section (e.g.) Carbon management.docx (e.g.) Page 4, section 2.3 B. Transport 41. Do you have the following in place for both travel to work and travel in the course of work? (See Note 18) Reducing the need to travel Optimising use of greener travel modes (See ) section (e.g.) Green transport plan.docx (e.g.) Page 4, section 2.3 Note 18 Evidence could include your workplace travel plan, or sustainability and practices. See 5. fairplace award application form 9 of 12

10 C. Water 42. Do you have the following in place? (See Note 19) Reducing water consumption Water saving initiatives Water re-use initiatives section (e.g.) Water management.docx (e.g.) Page 4, section 2.3 (See ) Note 19 Evidence could include your water management plan or sustainability and practices. See 5. D. Materials and Waste 43. Do you have the following in place for your workplace covering materials used in maintenance, refurbishment and cleaning, or included in any service charges? (See Note 20) Purchasing and supply chain management Reduction, re-use and recycling (See ) Note 20 Evidence could include your waste or sustainability and practices. See 5. Waste minimisation Go to the next to provide evidence of the above. Continue to next fairplace award application form 10 of 12

11 What documents have you attached to provide evidence for No 43 on the previous? For each document please give a file name and note the relevant section section (e.g.) Water management.docx (e.g.) Page 4, section 2.3 V. Working together: Landlord & tenant relationship 44. Are the landlord (or managing agent) and tenant working co-operatively together to make this workplace fair to people and good to the planet? (See Note 21) Yes No section (e.g.) Minutes of tenants forum June 14.docx (e.g.) Page 4, section 2.3 N/A (See Note 22) Continue to final : Supplementary Information Note 21 We are looking for evidence that the applicant, whether landlord (or managing agent) or tenant, is working co-operatively with the other stakeholders in the building to improve environmental and social practices. This might include a copy of a green lease or memorandum of understanding, minutes from a tenants forum meeting or evidence of joint working on e.g. increasing the number of recycling bins or cycle racks available. Alternatively, a signed statement from the landlord / or managing agent (for tenant applicants), or a tenant (for landlord applicants) confirming co-operative working is acceptable. Note 22 Where the applicant is an owner-occupier please tick N/A. fairplace award application form 11 of 12

12 VI. Supplementary Information For any information in this box, or appended documents, please indicate the question number(s) in the application to which it is relevant. What to do next: checklist 1. Make sure you have filled in all the relevant fields and make a final save once your application is complete. 2. In addition to the Application Form, compile your portfolio of evidence along with a covering letter to support your application, clearly setting out which documents, or sections within documents, relate to each of the four core areas. These should all be in pdf format. 3. Please the application to: mail@ethicalproperty.org.uk Or by post to: Ethical Property Foundation 70 Cowcross Street, London EC1M 6EJ 4. Please remember to pay the processing fee using PayPal online at: (or you can pay by cheque). Your submission will be reviewed by the award judging team, who will contact you with any queries. Once the judging process is complete, you receive an assessment report with feedback on your application, recommendations for action and confirmation of whether or not you have achieved the award. First fairplace award application form 12 of 12