Champion of the Year Award Nomination Form 2015 This award is designated for a company associate who proactively advocates for and supports the inclusion of diverse suppliers in his or her department/division. The award acknowledges the associate who has gone above and beyond to ensure that diverse firms are utilized and that spend with them increases significantly year over year. All TCCC/CCR associates, in all salary grades, are eligible to participate. Nomination/Application Process: Step 1: Nominator Information (See Below) – Must be completed by the nominator. Step 2: Nominee Information (See Below) – May be completed by the nominator or nominee. Step 3: Award Application (Pages 2-3) – May be completed by the nominator or nominee. However, it is recommended that the two individuals collaborate to ensure that the information provided is accurate and complete. A completed Nomination and Application form must be sent via email to Donald Payne, donpayne@coca-cola.com no later than March 2, 2015. Any questions about this form or submittal should be directed to Terrez Thompson, tmthompson@coca-cola.com. Nominator Information Name/Title: Department: Phone Number: Email Address: Nominee Information Name/Title: Department/Division: Manager Name: Email Address: Description of products/services you are responsible for sourcing: Telephone Number: Champion of the Year Award Application Form 1. Diversity Spend - (30 Points) Describe how nominee demonstrated efforts to continually increase purchases from diverse suppliers in 2014. Please summarize diversity spend influenced by nominee below. Include both 1 st & 2nd tier spend: 2013 2014 Total Dollars Spent with Diverse Firms: $ $ 2. External Outreach - (10 Points) Describe nominee’s participation in internal & external outreach events in 2014. Include events held by external organizations (eg., National Minority Supplier Development Council, Women’s Business Enterprise National Council, etc.,) such as trade shows, programs, networking events, involvement on board of directors, etc. Add additional columns if necessary. Name of Organization: 1. 2. 3. 4. Describe participation: 2 3. Internal Events & Awareness - (10 Points) Describe nominee’s participation in internal events (those sponsored by TCCC/CCR) in 2014. Include events such as supplier diversity training, opportunity forums, supplier diversity awards ceremonies, advocates meetings, etc. Add additional columns if necessary. Name of Event: 1. 2. 3. 4. Describe participation: 4. Accountability - (20 Points) Does nominee set annual supplier diversity spend goals either personally or for his/her team? If so, please describe below and provide details on how the nominee has successfully driven accountability and delivered results. 5. Supplier Engagement - (20 Points) Describe efforts lead by nominee to identify potential sourcing opportunities for diverse suppliers and creative steps taken to engage/introduce such suppliers with sourcing decision makers and other leaders within the company. Include supplier introductions and capability sessions initiated and/or lead by nominee. 6. Other Achievements - (10 Points) Provide other examples that demonstrate the nominee’s commitment to supplier diversity and why he/she should be considered for this award. 3