1.Applicant Name

2.Address

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

3.Is the applicant a for-profit organization?

Yes

No

4.Number of employees

5.Number of salaried employees

6.Number of hourly employees

7.Total sales / income from the preceding year?

8.Industrial classification (two-digit SIC Code)

9.Award Category

Manufacturing

Service

Small business

Healthcare

Education

Non-profit

Other (please specify)

10.Application Tier

Introductory Tier – Pathway to Performance Excellence – This tier is for organizations that have just made the decision to begin their journey toward Performance Excellence using the Baldrige Framework for Performance Excellence.  Application at this tier requires completion and submittal of the five-page Organizational Profile.  Also included should be an organizational chart and a glossary of terms, which are not a part of the page count.

Tier 1 – Commitment to Performance Excellence – This tier is for organizations that have made a serious commitment to use and implement performance excellence concepts and principles. 

Tier 2 – Progress Toward Performance Excellence – This tier is for organizations that have demonstrated sustained commitment to and application of performance excellence principles and practices.  They have made progress in building sound and notable systematic processes that have improved results in key portions of the organization

Tier 3 – Alabama Performance Excellence Award – This highest tier of recognition is presented to organizations that have demonstrated through their practices and achievements sustained performance excellence.

Award of Excellence for Continuous Productivity and Quality Improvement – This award is for recipients of the top Tier 3 Alabama Performance Excellence Award and must wait three years before they can re-apply for the top tier award.

11.Please describe the nature of the applicant's business (products, services and technologies).  Who are your major competitors?

12.Please describe the nature of major markets (local, regional, national, and international).  List all major customers.

13.Is the applicant a subsidiary, business unit, or division of another Alabama organization?

Yes

No

14.If yes, please complete the following for your parent organization:

Name

Address

City

State

ZIP

Highest Official

Title

Number of employees (of parent organization)

15.For subsidiary organizations of parent organizations, does the applicant comprise over 25% of the employees of the parent organization?

Yes

No

16.For subsidiary organizations of parent organizations, does the applicant consist of more than 50% of the sales of the parent organization?

Yes

No

17.For subsidiary organizations of parent organizations, has the subunit been in existence for at least three year?

Yes

No

18.For subsidiary organizations of parent organizations, is the applicant's parent organization or another subunit of the parent organization intending to apply?

Yes

No

Unsure

19.Briefly describe the organizational structure and management links to the parent organization. (if applicable)

20.For subsidiary organizations of parent organizations, do other units within the parent organization provide similar products or services?

Yes

No

21.For subsidiary organizations of parent organizations, briefly describe the major business support functions provided to the applicant by the parent organization or by other units of the parent organization.

22.Primary Contact Person

Name

Title

Mailing Address

City

State

ZIP

Phone

Fax

E-mail

Are you the authorizing official (yes/no)

23.Authorizing Official (if different from above)

Name

Title

Mailing Address

City

State

ZIP

Phone

Fax

E-mail

24.Submission of this form requires payment of the pre-application fee of $200.00.  Please mark below how you would like to pay this fee.

Mail payment

Pay over the phone