Positive Impact Award Application Form

Positive Impact in the Community Award Application

Name:

Contact Telephone

Contact Email

Job Title

Business Name

Number of Employees

Company Address

Social Media Handle

Website

Business Overview (250 words)

Explain how your business’s unique capabilities have been used to create positive outcomes for the community (250 words)

Provide evidence of enrichment activities, volunteering programs, financial or resource investment, and partnerships with local organizations. (250 words)

Demonstrate how your values and mission drive your commitment to community impact. (250 words)

Outline your plans for sustained community engagement and the measurable outcomes you aim to achieve. (250 words)

Showcase how your efforts support broader economic, social, or industry-related improvements beyond your immediate locality. (250 words)

Please provide your topline figures for your last three years for turnover and profit

Company Logo Upload (PNG format in a transparent background)

Upload File

Image that shows your business (1) 1mb in size minimum

Upload File

Image that shows your business (2) 1mb in size minimum

Upload File

Please provide photo credit(s)

By submitting your details you automatically authorise LOCALiQ to contact you regarding this event. Please select the boxes below if applicable.

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