PART ONE: Contact Information

Innovation in Social Entrepreneurship 

This award acknowledges an individual, organization or collective who has demonstrated leadership and innovation that has had a significant social, cultural or environmental impact in their community. The social innovator of the year will have used science and/or technology and/or agriculture (which may include software, digital applications, equipment, products, social media etc.) as a catalyst for positive change. This can be in the form of entrepreneurship and/or community initiatives and covers both non-profit and for-profit sectors.

Social entrepreneurship is defined as the use of the techniques by start up companies and other entrepreneurs or innovators to develop, fund and implement solutions to social, cultural, or environmental issues.

Please Note: There are two parts to this nomination form. Supporting documentation may be included.

* 1. Name of Nominee:

* 2. School or Company Name:

* 3. Address:

* 4. Phone:

* 5. Email:

* 6. Submitted by (Self nominations are permitted):

* 7. Submitter Phone:

* 8. Submitter Email: