Your organisation

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* 1. What is your organisation’s name?

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* 2. Are you a registered charity in New Zealand?

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* 3. If yes, what is your charity’s registration number? If you do not have a registration number, please fill in your NZBN number below.

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* 4. Are you working with people to bring about a positive change in their lives?

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* 5. Please give more detail below

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* 6. Do you know how many people your organisation is impacting and how much your activities cost per year?

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* 7. Please give more detail below

Your strategy

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* 8. Can you describe your organisation’s strategic vision?

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* 9. To what extent is your strategic vision embedded in your organisation? (1 – 5, 1 being not much, 5 being firmly embedded)

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* 10. To what extent do you have leadership buy in for your strategic vision? (1 – 5, 1 being not much leadership buy in, 5 being a lot of leadership buy in)

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* 11. Please give more detail below

Your impact

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* 12. How strong is your understanding of the impact your organisation has? (1 – 5, 1 is low understanding, 5 is high understanding)

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* 13. Please give more detail below

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* 14. How important is it for you to track your organisation’s impact through data?

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* 15. How would ImpactLab’s GoodMeasure tool help you realise your strategic vision?

Your impact

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* 16. Please provide your contact details (email and phone number) below so we can contact you about competition progress

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* 17. Are you happy to be contacted by BDO and ImpactLab for follow up promotional/marketing conversations?

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* 18. Do you already have a BDO adviser? If so, who are they?

Conditions of entry:

-  The competition, known as “What’s your Impact?” is open to entries from New Zealand based Not-for-Profit
    organisations who complete and submit the above entry form by no later than 5pm on 28 January 2022.

-  The competition prize (“the prize”) is to consist of one GoodMeasure report and is not transferable or redeemable
    for cash. The judges’ decision of the prize winner is final and no correspondence will be entered into. ImpactLab’s
    standard terms and conditions apply to availability of the prize, read more here.

-  Five finalists are to be selected and notified by email and/or phone by 11 February 2022.  All finalists will be required
   to join a live (online) judging round on 23 February 2022 in order to be eligible for the prize. This live judging round
   will be promoted by BDO and ImpactLab and open for public viewing.

-  The prize winner will be notified by email and/or phone by 28 February 2022.

-  The prize winner and finalists will have access to use of a digital badge for display on their marketing and
    communications which promotes their achievement (to be designed and issued by BDO and ImpactLab).

-  BDO and ImpactLab reserve the right to promote the name and organisation of the finalists and prize winner in
   communications associated with the competition.

-  BDO’s standard Privacy Policy, as outlined on BDO New Zealand’s website, applies to the collection of personal
   information in relation to competition entries.

-  All those who select “Yes” to question 17 consent to being contacted by their local BDO member firm and ImpactLab
   regarding their competition entry and how these organisations can assist them with related services.

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