Jeroen Jongejans Innovate Northland

Jeroen Jongejans Innovate Northland

SPECIALIST CATEGORY ENTRY FORM 2024
IMPORTANT: Before completing this form please read the 2024 Awards Entry Information and Guidelines.

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If you would like a PDF copy of the entry form so you can make handwritten notes, please contact awards@northchamber.co.nz.

The Innovate Category may include businesses who have not been trading/operating for the pre-requisite number of months required to be eligible for entry into the main Awards i.e., Baldridge Criteria. Therefore, this entry form is more detailed to ensure data is captured that would otherwise be taken from a main entry form.

Submission deadline: 9.00am Monday, 12 August 2024
SECTION 1 - GENERAL INFORMATION
1.1 Organisation*
1.2 Contact Person*
1.3 Postal Address*

Street Address

Street Address Line 2

CityState / Province

Post Code
1.4 Physical Address (for site visit)*

Street Address

Street Address Line 2

CityState / Province

Post Code
1.5 Website*
1.6 Phone Number

Area CodePhone Number
1.7 Mobile Number*

Area CodePhone Number
1.8 Email
example@example.com
SECTION 2 - ORGANISATION PROFILE
2.1 Business Summary -Explain your business in 50 words or less (give us your 'elevator pitch'). This information may be used by us when describing your business in the print press or on digital platforms.*
2.2 How long has your business been operating. Please include the date you started trading.*
2.3 How many owner / operators work in the business?*
2.4 What is the ownership structure?*

Privately owned companyPublicly owned companyIncorporated SocietyFranchise or branchTrustOther
2.5 Please upload an Organisation Chart.*

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SECTION 3 - PRODUCT OR SERVICE
3.1 Name of Product or Service?*
3.2 Product/Service details: Brief background and description of product/idea technology. *
3.3 What are the key technical issues? *
3.4 Describe the core technology proposed.*
3.5 What stage of development are you at? (idea, proof of concept, prototype etc?)*
3.6 What technical skills are missing? (i.e. new employees and/or third party experts) *
3.7 How will these skills be transferred into your organisation?*
SECTION 4 - MARKET
4.1 Assuming this project is successful, what are the potential commercial returns to the organisation and benefits to New Zealand?*
4.2 What is the total market size and current growth rate?*
4.3 What is your target market and what is its size?*
4.4 Once your target market has been established, are there any secondary markets and/or applications planned for this technology?*
4.5 What is your business model and revenue model, what is the expected sale price and margin?*
4.6 How did you work out your sales price and cost of materials?*
4.7 How does this relate to competitive offerings in the market? *
SECTION 5 - POTENTIAL
5.1 Does the company’s financials (e.g. capital, turnover) demonstrate potential to grow?*
5.2 Does the business have the ability to achieve scale to export? What is the likelihood that the product/service will achieve successful commercialisation? What is the evidence of an international /export market? How will the innovation create a sustainable competitive advantage?*
5.3 Who are your end purchasers /customers? What problem are you trying to solve for these customers? What is your solution to this problem?*
5.4 What is the market attraction? Can you validate through market research? *
5.5 What or who is your competition? What makes your product/service unique or different? What is the likelihood that the innovation will create a sustainable competitive advantage?*
5.6 What is your market entry strategy? What sales channels will be used to get your product/service to market? Have any commitments been made by these channels and/or customers?*
5.7 What is your value proposition in both functional and dollar terms, and how does this relate to your competitors' offering? What is your market advantage, and how long will this be sustainable?*
5.8 Is this a new or significantly different product/service? Show evidence.*
5.9 What IP protection strategies patents, trade secrets, trademarks etc.) will be used and why?*
5.10 Have you checked that you have Freedom to Operate (FTO)?*
5.11 What is the likelihood the organisation will achieve successful commercialisation?*
5.12 Where will the organisations share of project and commercialisation funds will be sourced?*
5.13 What are the risks associated with this project and subsequent commercialisation steps?*
5.14 File Upload if required.

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Should be Empty:

SECTION 1 - GENERAL INFORMATION

SECTION 2 - ORGANISATION PROFILE

SECTION 3 - PRODUCT OR SERVICE

SECTION 4 - MARKET

SECTION 5 - POTENTIAL