GSC 3S Awards 2017 Application
Application Submission Deadline: Monday, March 27th, 5pm EST
Event Address: United Nations, New York City
Contact Information: lauren.zaffuto@gscouncil.org
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Please fill out the below fields in order to apply.
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First Name:
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Last Name:
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Company Name:
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Your title:
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Company URL:
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Business Street Address:
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Business City"
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Business State / Province / Region:
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Business ZIP / Postal:
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Business Country:
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Company telephone number
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How did you come to learn about the 3S Awards? Please be specific.
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Category you are applying for:
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Title of video submission. (We don't required that your video to be professionally produced. You can create it on your phone or computer if you'd like. The purpose is to provide the judges with an experience of you and your work that is as personal as possible. We also use the video for marketing in our newsletter and social media.)
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URL of your video (3 minutes maximum):
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Company size :
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Describe your company's mission and what the enterprise has achieved thus far, as depicted in your video (100 words):
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Business and Business Model:
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Problem/Solution: Describe the problem that your product, technology or business model addresses/solves/
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Value Proposition: Please provide a clear message as to why your product, technology or business model is unique, and explain the needs it addresses and why customers should pay for it.
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Target Customers and Getting to them: Who are your target customers and how do you plan to reach them (e.g, direct, through channel partners, etc.)?
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Market Size: What is the size of the market that you are addressing? Please provide assumptions or backup for your estimate of market size.
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Competitive Advantage: Who are your competitors? What is your competitive advantage compared with them? How do your plan on leverage this advantage? What is your intellectual property strategy?
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Management Team: Please provide a brief description of the management team and their background.
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Impact: Describe how the project addresses one of the world’s greatest social or environmental challenges, as identified by the 17 UN Sustainable Development Goals and categorized into these five actionable themes: Basic Needs, Empowerment, Climate Change and Natural Capital, Governance. Do you currently use impact metrics? If so, please describe: (100 words maximum)
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Strategy: What are the enterprise’s values and business strategy? What are the big challenges encountered?
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Financials: Revenue Model – Please describe your revenue model. How do you plan to make money?
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Cost Structure – Please provide the following that are representative of your business as a percentage of revenue: Note: Please provide percentage only (0%-100%) 1) Cost of Goods Sold / Cost of Sales 2) Sales and Marketing (personnel, T&E, etc.) 3) General and Administrative Costs (personnel, office costs, reporting and legal, etc.) 4) R&D Costs (personnel, testing, etc.)
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Please provide a summary of the enterprise’s historical (last three years, if available) and projected financials (next three years). Include Revenue / EBITDA / Net Income / Cash Flow)
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What is your stage of funding?
Are you seeking additional capital? If so, what is the time horizon, how much is required and what would it be used for?
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Future Outlook: What are the future plans for your enterprise and how would the 3S Awards help further the vision (enterprise size and scale, number of people impacted, revenue targets, follow on capital, etc.)
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Supporting Documents: Please send testimonials, annual report/financial statements, evidence of impact or any other supporting documents relevant to supporting your application. (up to 3 documents, max 5 pages each)This year we have partnered with B Lab to provide a B Impact Assessment for all of our applicants. Completing this assessment is OPTIONAL and will take approximately 20 minutes. We encourage you to complete the assessment as it provides a credible, comprehensive and independent set of standards of social and environmental performance along with benchmarks and tools to help you improve your impact over time. Please enter your results once you have completed the assessment, in the text box below. You may complete the B Impact Assessment here: < https://beta.bimpactassessment.net/get-started Please attach your Quick Impact Assessment here:
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A copy of your responses will be emailed to the address you provided.
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