NOMINATION FORM
Application Instructions
This is the nomination form that will present your company’s case for consideration to the CNME editorial team for inclusion in the CIO 100 Awards.
There are three parts to this form.
Part I asks for basic information about the nominated organisation.
Part II includes 7 multiple-choice, short-answer and essay questions about the nominated initiative.
Part III is composed of four multiple-choice and essay questions designed to measure business value of the nominated initiative.
1.1 CONDITIONS
· All nominees must agree to be featured in CNME magazine as part of its coverage for CIO 100 Awards. This will appear in the February 2016 issue.
· Nominations must be completed in full. Incomplete nominations will be disqualified.
· Former CIO 100 honourees are encouraged to submit new systems/ projects/initiatives.
Questions?
For questions regarding the CIO 100 Award and application, please e-mail
Part I. The Nominated Organisation
Please answer all questions in this section. Completed applications will be given preference over applications with missing information. For subsections 1 and 2, please provide information as you wish to have it appear in the magazine should your organisation be selected as a CIO 100 winner.
1. Nominated Organisation Information
Legal name of nominated organisation:
Headquarters address:
Website address:
The nominated organisation is a (Select one)
o Public company
o Private company
o Non-profit
o Government organisation
2. Which primary industry/market does the nominated organisation serve? (Select one)
NON-COMPUTER RELATED INDUSTRIES
_ Aerospace/Defense contractor
_ Agriculture/Construction
_ Automotive/Transportation
_ Business services/Consultant
_ Education/Non-profit
_ Finance/Banking/Accounting
_ Government: Federal (including military)
_ Government: State or local (including law enforcement)
_ Health care/Medical services/Pharmaceutical/Bio-Tech
_ Insurance
_ Manufacturing
_ Mining/Oil/Gas
_ Media (publishing/broadcast)/Advertising/PR
_ Real estate/Legal
_ Utilities (oil, water, gas, etc.)
_ Wholesaler/Retailer/Distributor
COMPUTER RELATED INDUSTRIES
_ Communication carriers (telecomm/data comm)
_ Computer or network consultant/Data processing services
_ Manufacturing: Hardware
_ Manufacturing: Software
_ Service provider (ISP/ASP/MSP/BSP/ESP/Web hosting)
_ VAR/VAD/OEM/Systems or network integrator
_ Wholesaler/Retailer/Distributor
_ Other
Year organisation was founded:
2. Company Size
Total number of employees in nominated organisation:
3. Executive Information CIO (or equivalent top IT executive)
Name:
Title:
Address:
Phone:
E-mail:
Contact information for CIO's assistant:
Name:
Phone:
E-mail:
CEO (or equivalent top business executive)
Name:
Title:
Email:
Phone:
Contact information for CEO's assistant:
Name:
Phone:
E-mail:
4. Additional Information
Person submitting this application
Name:
Title:
Phone:
E-mail:
If the nominated organisation is selected for a CIO 100 Award, is the IT executive listed in #3 above willing to participate as a speaker at the CIO 100 Forum and Awards?(Select one)
o Yes o No
Part II: Your Project
For multiple-choice questions, please select answers as instructed. Answers to essay questions may be as long as is necessary to communicate information about your initiative that you would like the judges to consider. We suggest a range of 2100-7100 words, depending on the question and its significance to your initiative.
Please be specific and use supporting data and whatever metrics are possible. Applications that also provide narrative examples about an initiative and its impact on the business –such how employees work differently, how customers interact with your company in new ways or the impact the project has had in your market – have a better chance of winning than applications that merely summarise a project.
· Describe your project or initiative. (Tell us what is it, what it does and when it began. Briefly describe how it works and its business purpose. Focus your answer on the specific initiative you are submitting for consideration. Please limit your response to 1000 words)
2. Which business function primarily benefits from this project or initiative? (Select up to three choices)
_ Accounting & finance
_ Human resources
_ Asset management/maintenance
_ Research & development/product development
_ Manufacturing
_ Inventory management
_ Supply chain/logistics
_ Marketing
_ Sales
_ Order processing/fulfillment
_ Customer service/support
_ IT operations
_ Other
3. What is the primary business goal of the project?
_ Efficiency/Increased productivity
_ Competitive advantage
_ Business innovation
_ Customer satisfaction
_ Regulatory compliance
_ Global operations
_ Supply chain
_ Business continuity
_ Security/Privacy
_ Other
4. Which technologies have been most important to executing the project? (Check all that apply)
Business Intelligence or Data Analytics
Business Process Management
Cloud Computing Services or Software as a service
Collaboration tools
Content or Document Management
Customer service or customer relationship management
Databases or data warehouse
Enterprise Architecture
ERP
Mobile or wireless
Security technology
Social Media
Supply chain or logistics
Video conferencing and collaboration
Virtualisation
5. List the top three vendors whose products are most important to your project or initiative.
a.
b.
c.
6. Is your project or initiative a product or a service that is sold to outside organisations?
o Yes
o No
If yes, please explain in more detail: ______
______
7. What is innovative about your project or initiative?
(The innovation may employ a new technology, or a new way of using existing technology. Summarise the most innovative aspects of your projects in a bulleted list. Then elaborate in as much detail as necessary about what makes your project novel. There is no word limit.)
______
Part III: Your Project's Impact
Information in this section will be used to judge the significance and impact of the nominated project or initiative.
1. How much money did you invest in the project? Please state all figures in U.S. dollars.
2. Which of the following best describes the current stage of your project?(Check one)
o Under development
o Pilot
o Deployed partially
o Deployed fully
3. What is the time frame for the full payoff of the project? (Check one.)
a. 1 to 6 months
b. 7 to 12 months
c. 13 to 24 months
d. 25 to 36 months
e. More than 3 years
f. Project has already achieved its ROI
4. What are the specific business results generated by the project.
(Summarise the measurable business results of your project in a bulleted list. To answer, complete up to 25 word limit. Please elaborate with as much specific detail as necessary about the measurable business benefits and provide data to back claims (such as detailed RoI for financial value, increased market share, or additional revenue generated.) There is no word limit.
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