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CYEL 2016
APPLICATION
FORM
_______________________________________________________________________________
IMPORTANT
Please fill this form offline, and use this link to upload it.
All fields with « * » are required. And if there is any confidential information, please mention it and
we will evaluate together the limitation, mainly if the question is required.
For any request, please send an email to: [email protected].
CANDIDATE INFORMATION
Participants must be between 18 and 40 years of age. Nominees born before January 1, 1976, are
not eligible for the Creative Young Entrepreneur Award.
Title
First Name*
Last Name*
Email*
Phone Number*
Date of Birth*
Will Participate at the Public Choice Awards (PCA)
Company Name*
Address / Street*
Address / Num
Zip Code*
City* / Country*
Phone Number
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Website
Description of the business*
Type your text here / 350 characters max.
Year of establishment*
Candidate's company share (%)*
Involvement in the management*:Are you actively involved in top management ?
Year of the involvement*: What year did you assume responsibility?
2.2 CANDIDATE DUTIES
Please provide a brief description of the nominee s management responsibilities.
Type your text here / (50 words or less, you may use list format)
2.3 TARGET MARKETS
What are the company's key target markets?
Type your text here
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yes
no
2.4 CSR COMPLIANCE
How does your company comply with UN Global Compact - CSR (Corporate Social Responsibility)
standards during the daily activities?
Type your text here
THE CREATIVE ENTREPRENEUR
The questions in this section are designed to allow to assess the entrepreneurial spirit of the
nominee, the use of ingenuity, creativity and innovation in that spirit, and the success of the
entrepreneur's creative approach. Please answer the following questions succinctly, using 500
words or less. Use of bullets and point form is acceptable.
3.1. COMPANY DESCRIPTION
Describe the company? Its current stage of development, its core activities, size, market strategy,
position in the market, and what sets it apart from its competitors.
Type your text here
3.2. CANDIDATE PROFILE FOR CYEL
Describe the nominee's entrepreneurial achievement for which you are nominating them for the
Creative Young Entrepreneur Luxembourg Award. Please give details about the use of creativity,
ingenuity and innovation in management approach, market strategy, customer service, use of
technology, or any other aspect of the company.
Type your text here
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3.3. CREATIVE SOLVING SKILLS
Describe the degree of difficulty in launching and building the company, or in implementing the
changes of the established company, the risks involved, obstacles to overcome, and how they were
overcome, how it was financed, staffed, and operated.
Type your text here
3.4. SUCCESS FACTORS
Describe the success of the company with specific attention to indicators of success such as
financial growth, market size, growth of the company, job creation, positive impact on the market,
reduced costs, etc.
Type your text here
3.5. CREATIVE PLANNING SKILLS
Please outline the plans and prospects of the nominee for the company’s future and how they
demonstrate creative planning skills.
Type your text here
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THE GUIDING PRINCIPLES
The questions in this section are designed to allow to assess the overall personal integrity and
guiding principles of the nominee, how they fit the social responsibilities of good leadership into their
business life and their role as an entrepreneur. Please answer the following questions succinctly.
Use of bullets and point form is acceptable.
4.1 LEADERSHIP QUALITIES
Describe the leadership qualities of the nominee, in their professional business/activity and personal
life, in the following specific areas.
as a Manager / as a Visionary / as a Coach / as a Educator / as a Ambassador / as a Learner
Type your text here / Please use no more than 250 words for each
4.2. COMPANY ORGANIZATION
In 500 words or less, describe how the work environment and culture established by the candidate
respects, recognizes and rewards employees. Include a description of the overall corporate
structure.
Type your text here
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4.3. COMMUNITY INVOLVEMENT
List business, charitable and community organizations to which the candidate belongs and the
extent of their involvement. Include specific examples of community involvement that illustrate how
the nominee demonstrated vision and creativity in a socially beneficial way.
Type your text here
NOMINATOR INFORMATION
If the nominator is not the same person as the candidate, please provide the following information.
Title
Name of Nominator
Company, Organization
Phone Number
Email
Thank you for completing the form.
Now, it is time to save your file and upload it on www.cyel.lu
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