You are here: Home › Forms › Impact at Work Forms › Impact at Work Award: Entry Form

Impact at Work Award: Entry Form

Entry form for Net Impact's Impact at Work Award, recognizing the efforts of working professionals who are making a social and environmental impact in the workplace.

Thank you for submitting your entry for the 2013 Impact at Work Award. Please complete the form below, providing as much detail as possible. We look forward to learning about how you're making an impact at work!

Personal Information
You'll need to be at least a Basic member to be eligible (basic membership is free; you have until entry forms are due on Aug. 30, 2013 to sign up).
Project Details


If a team, please list names and roles of team members:
What issue(s) did your project address? Ctrl+click to select more than one.
Total number of people actively participating in project
/ /  
/ /  
characters remaining
What outcomes did you hope to achieve? Please be as specific as possible.
characters remaining
In addition to your underlying approach, what specific steps did you take to get your project off the ground?
characters remaining
Describe any challenges or obstacles you ran into, and how you worked through them.
Please describe the specific outcomes produced by the project, including how you were able to add value to your workplace. The more quantitative metrics you can include, the better (although not required).
What personal or organizational factors contributed to the success of your project?
Please share your top three lessons learned through the completion of this project.
characters remaining
Briefly summarize your project (including results) in a short "blurb" that could be used to promote this project.
characters remaining

Thank you! By submitting this entry form, you acknowledge that:

  • All information submitted is complete and accurate.
  • You are the copyright holder for all material submitted.
  • Net Impact may use the material submitted for promotional or other purposes.

A member of our team will contact all finalists directly.

What We're Looking For

We're looking for projects – large and small – that demonstrate measurable value added to organizations through social and environmental initiatives led by Net Impact members. By “value” we mean initiatives that are closely connected to furthering the objectives of the organization or community in which they operate. Such value is not limited to monetary gains, but also includes increased employee engagement, professional development gains, waste reduction, and more.

Examples of eligible entries:

  • A workplace greening plan that reduced water and energy consumption by 30%
  • Converting a normally high-impact event into a zero-waste event
  • Implementing a monthly pro bono service event among employees
  • Partnering with a local regulatory agency to implement a packaging take-back program

What We're Not Looking For:

  • Volunteer projects that do not involve an application of business-related skill sets
  • Participation in organization-wide initiatives not started by the Net Impact member or team entering the contest
  • Projects whose main impact occurs outside the eligibility period
  • Projects that were originated/managed by existing CSR groups within your organization