Part 1: Introduction (1-2 pages maximum Arial 11) Please specify if you have already participated in the European Business Awards for the Environment

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1 APPLICATION FORM Category 2: Product and Services Part 1: Introduction (1-2 pages maximum Arial 11) Please specify if you have already participated in the European Business Awards for the Environment If yes, please give: Year/s: Award category/ies: Title of previous entry/ies: Please indicate if your company is a Micro, Small, Medium or Large entity (refer to table on page 5 of the EBAE Handbook for criteria). Micro Small Medium Large Please indicate if your company is Independent, a joint venture or a subsidiary Independent Joint Venture Subsidiary Please confirm that your company is a business entity with an industrial or commercial character, not a body governed by public law (refer to page 7 of the EBAE Handbook for details)., a business entity 1. What status was the company granted at the national level competition? Winner Shortlisted/Runner-up Special recommendation 2. List one or more sources where the information about your entry can be verified (e.g. website, other source): 3. Title of entry: 4. Company name: 5. Company address: 6. Country: 7. Contact person: EBAE Awards Product and Services Application Form Page 1 of 5

2 Telephone number: 10. Website: 11. Specify if you have included any supporting materials in annex to this entry form: 12. If yes, please mention the name and the type of the annex/es (brochure, PDF, document, other): Annex 1: Annex 2: EBAE Awards Product and Services Application Form Page 2 of 5

3 Part 2: Application Form (4 pages maximum Arial 11) 1. Overview of company and summary of product/service: (one page maximum) a) Description of the Company/organisation: Include information on the sector and main business activities b) Description of the process i) Provide an overview of the product/service what does it do? Include the stage of development (e.g. prototype/on the market; pilot/full scale adoption) ii) Explain what is different/innovative iii) What are its key environmental strengths/benefits to the company, customers or other stakeholders iv) Give a summary of its main benefits to the company and its (further) potential 2. Innovation Describe the innovative elements that distinguish this product or service from its predecessors or others already on the market including: a) the reason you decided to innovate; what were the circumstances leading to its development b) evidence that it performs at least as well as current alternative market solutions c) evidence that it meets relevant safety standards 3. Environmental benefit a) Provide clear and quantified evidence of the environmental benefits of the product/service in terms of: energy, water and material consumption; waste; emissions to air, water and soil; CO2; and land use reduction, where relevant. b) Give information on any life-cycle assessment, or EU Ecolabel or equivalent, which is considered a proof of environmental benefit. 4. Social benefit What social benefits can be expected from the product or service? e.g. how will it improve quality of life for consumers, lead to improved health outcomes, improve working conditions etc. 5. Economic benefit Provide evidence of the contribution to be made by the new product or service to the organisation s overall financial performance (e.g. through sales data or credible sales projections) with an estimate of the potential market size. EBAE Awards Product and Services Application Form Page 3 of 5

4 6. Commitment a) How does the product/service fit with the overall environmental vision and mission of your organisation? b) Describe actions taken to embed the product/service within your organisation s operations c) Provide information on senior management commitment d) What steps have you taken/plan to take to market the product/service e) What are the plans to further develop the product/service 7. Replication potential a) Describe the potential for the new process to be replicated, i.e. adopted elsewhere, geographically or in another sector or industry. b) What actions have you taken or are you planning to take to share the knowledge and expertise of this process with other organisations. c) Give information if the process has already been replicated. 8. Business and biodiversity all entrants should answer this question a) Does your business address biodiversity at a management level? If so, outline how. b) Is biodiversity protection included in your business policy and/or strategy and how? c) Describe any mechanisms that have been integrated within your overall organisation and company-wide management to systematically assess and/or value and account for the impacts and dependencies on biodiversity (or at least natural capital). d) Specify if you wish to be automatically considered for the Business and Biodiversity Award. If you have ticked above, please continue and answer the four questions on the next page. They are specific questions for the Biodiversity award only please include detail of any points covered in the general biodiversity question above. For each question, we indicate the percentage of total marks available EBAE Awards Product and Services Application Form Page 4 of 5

5 BB1. Business and Biodiversity Award Approach Describe how your company s established approach contributes to reduce the pressures on biodiversity, and give details of how it helps the protection of ecosystems, habitats, species or genetic diversity. If you do not have a company-wide systematic approach but anecdotal or case by case evidence: give examples on how and which ecosystems/habitats/species are positively influenced by your activity. BB2. Business and Biodiversity Award Impact and measurability Explain the direct impact of your action on biodiversity /eco system services, showing how you protect and improve biodiversity at a local level and beyond. Provide details on efforts to measure this. Highlight any positive impact on particular protected habitats and/or species. BB3. Business and Biodiversity Award Commitment and sustainability of action going forward Explain the sustainability of your activities to protect biodiversity and the commitment of your organisation. Include information on: a) how biodiversity is embedded into your organisation s (environmental) management b) how biodiversity conservation is part of the company s policy c) if this impacts on the performance of your organisation and d) if financing is available to ensure sustainability. BB4. Business and Biodiversity Award Strategic integration and stakeholder engagement (10% of total Award marks available for this answer) Explain how you ensure scaling up of biodiversity within your whole value chain: a) how are staff trained in relation to biodiversity, is this systematic? b) if and how biodiversity criteria are included in your procurement actions c) if and how biodiversity is seen as a value-added d) how awareness is raised with other actors, e.g. consumers and/or customers upstream e) describe any cooperation/exchange with stakeholders and experts on biodiversity. End of Business and Biodiversity Award questions By ticking this box you agree that all the data provided in this form can be made available to the European Commission EBAE Awards Product and Services Application Form Page 5 of 5