2016 INTEL-AIM CORPORATE RESPONSIBILITY AWARD --OFFICIAL ENTRY FORM-Deadline for submission of entries: 08 April 2016, Friday IACRA acknowledges corporations with CSR firmly embedded in their organizational DNA. Entries will be assessed on how the company aligns its CSR strategy and programs with the business strategy and company operations. Applying companies are encouraged to answer all sections of the entry form to preclude disqualification. Please accomplish this Entry Form (together with the accompanying Verification Form) and email to: awards.afcsr@aim.edu on or before 08 April 2016, Friday. The entry form is divided into three parts (1) Company Profile; (2) Company Strategy and Operations; and (3) Company CSR Strategy and CSR Programs. This entry form will be provided only to the Awards Administrators, Steering Committee and the Board of Judges. However, non-financial information in this entry form will form part of the AIM-RVR Center’s Research Database and may be cited in academic articles and other publications. PART 1: COMPANY PROFILE Company Information: Name of Company applying for the Award: Country of Operation: Name of Mother Company: (for subsidiaries that are part of a holding company; for companies which are part of a global company.) Country of Residence of Mother Company: Address of Mother Company: Company Website: Company- Specific Information: Area of Operation Single Area: One country operation Multiple Country Operations: Operates in more than one country Please identify the countries where the organization operates: INTEL-AIM CORPORATE RESPONSIBILITY AWARD Entry Form: Page 1 of 6 Email: awards.afcsr@aim.edu Awards Steering Committee, c/o AIM RVR Center, 123 Paseo de Roxas, 1260 Makati City, Philippines Phone: (632) 720-2100 (Loc. 2614) Fax: (632) 752-1208 Type of Organization Please check all that applies. Private Corporation Partnership Single Proprietorship Others: State-owned Enterprises Publicly-owned corporations Publicly-listed Others: Corporate Foundation Charitable Organization Religious Organization Micro-finance Org Others: CLASSIFICATION BY: Employment size Micro Small Medium Large Micro (0 – 99 employees) Small (100 – 999 employees) Medium (1,000 – 9,999 employees) Large (10,000 – more employees) CLASSIFICATION BY: Revenue in US DOLLARS this information can only be used for categorization this information can be included in the database Micro Small Medium Large Micro (less than US$ 65,000) Small (US$ 65,001 – 300,000) Medium (US$ 300,001 – 2,000,000) Large (more than US$ 2,000,000) INDUSTRY CLASSIFICATION Agriculture, forestry and fishing Mining and quarrying Manufacturing Electricity, gas, steam and air conditioning supply Water supply; sewerage, waste management and remediation activities Construction Wholesale and Retail Trade; repair of motor vehicles and motorcycles Transportation and storage Accommodation and food service activities Information and communication Financial and insurance activities Real estate activities Others: Name of CEO or President: Name of CSR Head: Administrative Position: Department: Email Address: Name of Contact Person for this Entry: Administrative Position: Department: Email Address: Phone Number: Fax Number: Postal Address: INTEL-AIM CORPORATE RESPONSIBILITY AWARD Entry Form: Page 2 of 6 Email: awards.afcsr@aim.edu Awards Steering Committee, c/o AIM RVR Center, 123 Paseo de Roxas, 1260 Makati City, Philippines Phone: (632) 720-2100 (Loc. 2614) Fax: (632) 752-1208 PART 2: COMPANY OPERATIONS 2-2: VALUE CHAIN In this section, please identify the critical processes in the company’s operations. A sample value chain may include the following support processes: Firm Infrastructure, Human Resource Management, Technology Development, Procurement, Inbound Logistics, Operations, Outbound Logistics, Marketing & Sales, and After Sales Service. If you have more than six processes, please use another sheet to present the company’s value chain. (Max. 1000 words) DESCRIPTION Brief information about the process LOCATION Area/s where the process takes place STAKEHOLDER’S IMPACT Individuals or groups affected by the process; how the process affect the stakeholders OPPORTUNITIES AND NEEDS Possible improvements to minimize the company’s footprint INTEL-AIM CORPORATE RESPONSIBILITY AWARD Entry Form: Page 3 of 6 Email: awards.afcsr@aim.edu Awards Steering Committee, c/o AIM RVR Center, 123 Paseo de Roxas, 1260 Makati City, Philippines Phone: (632) 720-2100 (Loc. 2614) Fax: (632) 752-1208 2-1: Strategy 2-1-A: Please state the company’s VISION. (Max. 250 words) 2-1-B: What is the company’s MISSION statement? (Max. 250 words) 2-1-C: Please articulate the company’s VALUES. (Max. 250 words) 2-1-D: What are the company’s (strategic) OBJECTIVES? (Max. 250 words) 2-1-E: Please indicate the KEY RESULT AREAS. (Max. 250 words) 2-1-F: Please indicate the PERFORMANCE INDICATORS.(Max. 250 words) PART 3: COMPANY CSR STRATEGY AND CSR PROGRAMS 3-1: CSR STRATEGY & FIT 3-1-A: What is the company’s CSR strategy?(Max. 500 words) 3-1-B: How does the CSR strategy fit with the business strategy? How does the CSR strategy address business needs and concerns? (Max. 500 words) 3-1-C: What CSR approach is adopted by the company? Below are samples of CSR approaches. Please indicate which approach the company has adopted. Please select all that apply. Please explain the rationale for the approach chosen. (Max. 500 words) PHILANTHROPY refers to philanthropic activities (or donations) to individuals or associations that do not necessarily have a direct impact on the company’s operations. COMPLIANCE refers to the company’s compliance with local laws, industry codes and international regulations VALUE CHAIN MANAGEMENT refers to the company’s initiatives that address all of its upstream and downstream activities TARGETED PROGRAMS refer to CSR programs related to the business’ operations aimed at a specific concern, beneficiary or stakeholder. Others (please specify): Please explain the rationale of the approaches chosen: 3-2-A: Please describe the organizational structure in implementing CSR. (Max. 500 words) 3-2-B: Please describe the funding and approval processes involved. (Max. 500 words) INTEL-AIM CORPORATE RESPONSIBILITY AWARD Entry Form: Page 4 of 6 Email: awards.afcsr@aim.edu Awards Steering Committee, c/o AIM RVR Center, 123 Paseo de Roxas, 1260 Makati City, Philippines Phone: (632) 720-2100 (Loc. 2614) Fax: (632) 752-1208 3-1-D: Who are the target beneficiaries of the CSR strategy and its programs? Please select all that applies and rank the top five target beneficiaries of your company. Employee Suppliers and Business Partners Consumers Environment Local Community Government Others: (Please specify.) 3-2: CSR PROGRAMS FULLY EMBEDDED CSR PROGRAMS exemplify the companies’ commitment to ensuring that its CSR strategy is embedded into strategy formulation, all relevant operations, all departments, management objectives, and corporate and management performance monitoring. Please present your most important “Fully Embedded” CSR programs by answering the questions below. Please submit a separate table per CSR program. (Max. 2500 words) PROGRAM NAME: PROGRAM DESCRIPTION: Please provide a two- sentence description of the CSR program. Please also describe how the CSR program relates to business operations. PROGRAM GOALS AND OBJECTIVES: Please provide specific measures, baselines, targets, and dates. Provide specific numbers wherever possible. PROGRAM BENEFICIARIES: Please identify the program’s target beneficiaries and reason for selecting them. Please indicate which metrics are used to measure impact for each beneficiary. Provide specific numbers wherever possible. PROGRAM INCEPTION AND TIMELINE: Please identify the inception and (target) end-date (if applicable). Please identify the key milestones in implementing the program and provide specific numbers wherever possible. IMPLEMENTATION: Please identify the financial, material and human resources used, key activities, expected milestones, outputs (e.g. trained individuals) and outcomes (e.g. increased family income). Provide specific numbers wherever possible. IMPLEMENTATION PARTNERS AND KEY ROLES: Please identify the partners involved in implementing the program as well as their roles and responsibilities. INTEL-AIM CORPORATE RESPONSIBILITY AWARD Entry Form: Page 5 of 6 Email: awards.afcsr@aim.edu Awards Steering Committee, c/o AIM RVR Center, 123 Paseo de Roxas, 1260 Makati City, Philippines Phone: (632) 720-2100 (Loc. 2614) Fax: (632) 752-1208 EVALUATION: Please explain the evaluation framework, indicators used in assessing the program’s progress, the persons/department involved, and frequency evaluation. QUANTITATIVE AND QUALITATIVE RESULTS: Please enumerate the quantitative and qualitative output and outcome, as well as the impact of the program on the beneficiaries and the company. Provide specific numbers wherever possible. 4. CONCLUSION: Please recap your justification that CSR is part of the organization’s DNA. (Max. 500 words) 4-1. How is social responsibility factored in the company’s decision-making? Consider the following areas: (a) procurement system, (b) product development and innovation, (c) marketing strategy, (d) engaging local communities, (e) labor and employee relations, (f) manufacturing processes, and (g) capital raising and investor relations (Max. 500 words): 1. Procurement system 2. Product development and innovation 3. Marketing strategy 4. Engaging local communities 5. Labor and employee relations 6. Manufacturing processes 7. Capital raising and investor relations 4-2. What are your plans for the company’s CSR strategy and programs? How do you see these evolving in the next five (5) years? Please explain. (Max. 500 words) INTEL-AIM CORPORATE RESPONSIBILITY AWARD Entry Form: Page 6 of 6 Email: awards.afcsr@aim.edu Awards Steering Committee, c/o AIM RVR Center, 123 Paseo de Roxas, 1260 Makati City, Philippines Phone: (632) 720-2100 (Loc. 2614) Fax: (632) 752-1208