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|[pic] |APPLICATION FORM 2020 |

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| |Category 3: Process |

|Part 1: Introduction |

|(Online completion is in sections, as below. Your entry will be a maximum of 5 pages in total |

|Title of Entry | |

|Company Name | |

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|Company Address | |

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|Country | |

|Contact Person | |

|Email | |

|Telephone number | |

|Website | |

|1. Is your company a Micro, Small, Medium or Large entity (EBAE Handbook page 5)? |

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| Micro | Small | Medium | Large |

|2. Is your company Independent, a Joint Venture or a Subsidiary (if a Joint Venture or Subsidiary, please give details)? |

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| Independent | Joint Venture | Subsidiary |

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|Details ________________________________________________________________________ |

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|______________________________________________________________________________ |

|3. Please confirm that your company is a business entity or social enterprise, not a body governed by public law (EBAE Handbook page 7). |

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| Yes, a business entity or social enterprise not governed by public law. |

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|4. Have you taken part in the European Business Awards for the Environment before? |

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| Yes | No |

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|If Yes .. |

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|Year |

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|Award Category/ies |

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|Title of Previous Entry/ies |

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|Overview of Company |

|5. Briefly describe what your organisation does. (max 50 words) |

|If relevant, remember to mention any products you manufacture, distribute or sell. |

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|Overview of your Initiative |

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|6. Briefly explain your initiative which you are submitting to EBAE (max 50 words) |

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|7. Why should you win the award; what makes your initiative different, ground-breaking, or one that stands out from the crowd? (max 50 words) |

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|8. Which geographical level do you work at? (tick all that apply) |

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|Local |

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|Regional |

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|National |

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|European |

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|International |

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9. Indicate from the following list, which policy area/s your initiative falls within (tick all that apply)

|Chemicals | |

|Circular economy & waste | |

|Land, soil & agriculture | |

|Nature & biodiversity | |

|Water | |

|Other (please write in) | |

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| By ticking this box you agree that all the information provided is correct and can be made publicly available when promoting the EBAE | |

|competition. | |

|Part 2: Application Form |

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|Overview of company and summary of process: |

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|Description of the Company/organisation: |

|Include information on the sector and main business activities |

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|Description of the process |

|Provide an overview of the process – how does it work? Include the stage of development (e.g. prototype/on the market; pilot/full scale adoption) |

|Explain what is different/innovative |

|What are its key environmental strengths/benefits to the company, customers or other stakeholders? |

|Give a summary of its main benefits to the company and its (further) potential. |

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|Innovation |

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|Describe the innovative elements that distinguish this process from its predecessors or others already on the market including: |

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|the motives or circumstances behind the innovation |

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|evidence that the process performs at least as well as comparable alternatives (both should meet relevant safety standards) |

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|evidence it meets safety standards in the market |

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|Environmental benefit |

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|a) Provide clear and quantified evidence of the environmental benefits of the new process either based on a life-cycle assessment or in terms |

|of any of the following which are relevant: energy, water and material consumption; waste; emissions to air, water and soil; CO2; and land use |

|reduction. |

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|b) Has performance improvement been validated by external environmental verifiers? If yes, provide details |

|Social benefit |

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|What wider social benefits can be expected to arise from the application of the new process (e.g. security of employment; working conditions; |

|health, quality of life for local communities)? |

|Economic benefit |

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|Has the new approach brought improvements in terms of economic performance – through use of the process in your company operations and/or through |

|selling/licensing the process to others? If so, provide details. |

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|Commitment |

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|How does the new process fit with the overall environmental vision and mission of your organisation? |

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|Describe actions taken to embed the process within your organisation’s operations |

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|Replication potential |

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|Describe the potential for the new process to be replicated, i.e. adopted elsewhere, geographically or in another sector or industry. |

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|What actions have you taken or are you planning to take to share the knowledge and expertise of this process with other organisations. |

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|Give information if the process has already been replicated. |

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|Biodiversity |

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|Is biodiversity protection included in your business policy and/or strategy and how? |

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|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). |

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|Have you also entered the Business and Biodiversity Award? |

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|Yes |

|No |

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