Your details Items marked with an are required. Title Mr Mrs Ms Miss Doctor Professor First name Last name Job title Work address Organisation Address Postcode AFGHANISTAN ALBANIA ALGERIA ANDORRA ANGOLA ANGUILLA ANTIGUA AND BARBUDA ARGENTINA ARMENIA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BRAZIL BRITISH INDIAN OCEAN TERRITORY BRUNEI BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMMONWEALTH OF DOMINICA COMOROS CONGO CONGO, THE DEMOCATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA COTE d'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLES FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HOLY SEE HONDURAS HONG KONG, CHINA HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA, REPUBLIC OF KOSOVO, REPUBLIC OF KUWAIT KYRGYZSTAN LAO, PEOPLE'S DEMONCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU, CHINA MACEDONIA MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MEXICO MICRONESIA MOLDOVA MONACO MONGOLIA MONTENEGRO MONTSERRAT MOROCCO MOZAMBIQUE NAMIBIA NAURU NEPAL NETHERLANDS NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NORFOLK ISLAND NORTH KOREA NORWAY OMAN PAKISTAN PALESTINE NATIONAL AUTHORITY PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT MARTIN SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SERBIA SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLES SOMALIA SOUTH AFRICA SOUTH GEORGIA & SOUTH SANDWICH ISLANDS SPAIN SRI LANKA SUDAN SURINAME SWAZILAND SWEDEN SWITZERLAND SYRIA TAIWAN TAJIKISTAN TANZANIA THAILAND TOGO TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM URUGUAY USA UZBEKISTAN VANUATU VATICAN CITY STATE VENEZUELA VIETNAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, US YEMEN ZAMBIA ZIMBABWE International dial code (if outside UK) eg 353 (if Ireland) Telephone no. - eg 020-89719000 Fax No. - eg 020-82633333 Email address Website Are you a CIPD Member? YesNo Membership no. Nominating an individual, team or organisation Only complete this section if you're entering on behalf of an individual, a team or an organisation. Please gain your nominees consent before submitting this application. Individuals nominating themselves and their own achievements are not required to complete this section. Title Mr Mrs Ms Miss Doctor Professor First name Last name Job title Work address Organisation Address Postcode AFGHANISTAN ALBANIA ALGERIA ANDORRA ANGOLA ANGUILLA ANTIGUA AND BARBUDA ARGENTINA ARMENIA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BRAZIL BRITISH INDIAN OCEAN TERRITORY BRUNEI BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMMONWEALTH OF DOMINICA COMOROS CONGO CONGO, THE DEMOCATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA COTE d'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLES FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HOLY SEE HONDURAS HONG KONG, CHINA HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA, REPUBLIC OF KOSOVO, REPUBLIC OF KUWAIT KYRGYZSTAN LAO, PEOPLE'S DEMONCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU, CHINA MACEDONIA MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MEXICO MICRONESIA MOLDOVA MONACO MONGOLIA MONTENEGRO MONTSERRAT MOROCCO MOZAMBIQUE NAMIBIA NAURU NEPAL NETHERLANDS NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NORFOLK ISLAND NORTH KOREA NORWAY OMAN PAKISTAN PALESTINE NATIONAL AUTHORITY PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT MARTIN SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SERBIA SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLES SOMALIA SOUTH AFRICA SOUTH GEORGIA & SOUTH SANDWICH ISLANDS SPAIN SRI LANKA SUDAN SURINAME SWAZILAND SWEDEN SWITZERLAND SYRIA TAIWAN TAJIKISTAN TANZANIA THAILAND TOGO TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM URUGUAY USA UZBEKISTAN VANUATU VATICAN CITY STATE VENEZUELA VIETNAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, US YEMEN ZAMBIA ZIMBABWE International dial code (if outside UK) eg 353 (if Ireland) Telephone no. - eg 020-89719000 Fax No. - eg 020-82633333 Email address Website Nature of relationship with the above: About the entry Please consult the rules of entry before you complete this section.Entries must be no longer than 1,000 words in total and must address all the questions outlined on this form. Title of project: Category that best describes your entry. Business benefit through: talent management learning and development employee engagement management of change If you feel none of the categories describe your entry, our judges will place your entry under the category they feel it is best suited to. Briefly describe the project: Outline the objectives of the project: Provide a summary of the project team, highlighting individual roles and responsibilities: If the project included the use of external support (eg consultants, trainers etc.) please provide details: Indicate the time-scales over which the project was compiled and implemented: Outline any barriers that were experienced and indicate how they were overcome: Summarise the key outcomes of the project, outlining the contribution made to the business since its introduction: How did you hear about the award? CIPD Website Direct Mail People Management Advert People Management Editorial Word of mouth Other The CIPD and its subsidiary respect your privacy. For your security and peace of mind, we will not supply your details to any organisation for marketing purposes. We hope you will be interested in CIPD products and services relevant to your work and personal development (eg CIPD conferences and exhibitions, training courses, publications and other business services). You will only receive carefully selected and relevant information. If you do not wish to receive such information please tick here.