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1 Social Capital Builder (SCB) Awards 2020 Logo Award Application Form Please submit the following documents to the CIIF Secretariat on or before 18 th September 2020 by e-mail or by post: 1. A completed application form; 2. Copy of the corporate/organisation’s registration documents (e.g . Business Registration Certificate); and 3. Supplementary documents. E-mail: [email protected] Address: Room 401-402, 4/F, Chinachem Exchange Square, 1 Hoi Wan Street, Quarry Bay, Hong Kong) To accord recognition to individuals and corporates/organisations who have contributed to the development of social capital in Hong Kong, the Community Investment and Inclusion Fund (CIIF) has organised the biennial SCB Awards since 2012. The Awards provide an opportunity for various sectors of the community to witness and share the achievements in building social capital in Hong Kong. Corporates, organisations and CIIF-funded project teams are welcome to enrol. Part I Corporate/Organisation 1 Information Name of Corporate/Organisation (Chinese): ______________________________________ (English): ______________________________________ Name of Functional Unit (if applicable) (Chinese): _________________________________ (English): _________________________________ Business Nature: ¨Public Utilities ¨Public Organisations & Government Departments ¨Logistics and Transportation ¨Property Management ¨Construction Industry ¨Tourism, Sports and Culture-Leisure ¨Hotel & Catering ¨Education ¨Import/Export, Wholesale and Retail Trades ¨Information Technology ¨Manufacture ¨Bank, Insurance & Finance ¨Healthcare & Public Health ¨Others (Please specify: ________________________________________________) Website (if any): _________________________________________________________ Number of Full-Time Staff Employed in Hong Kong: 1 Corporates/organisations refer to commercial entities registered with the Certificates of Incorporation and organisations in public and private sectors, such as government departments, statutory bodies, chambers of commerce, professional bodies, educational bodies, universities or tertiary educational institutions, medical institutions etc. CORPORATES/ORGANISATIONS ONLY (Except Social Service Agencies and CIIF-funded Project Teams) Application No.: (For Official Use)

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Social Capital Builder (SCB) Awards 2020

Logo Award Application Form

Please submit the following documents to the CIIF Secretariat on or before 18th September 2020 by e-mail or by post:

1. A completed application form;

2. Copy of the corporate/organisation’s registration documents (e.g . Business Registration Certificate); and

3. Supplementary documents.

E-mail: [email protected]

Address: Room 401-402, 4/F, Chinachem Exchange Square, 1 Hoi Wan Street, Quarry Bay, Hong Kong)

To accord recognition to individuals and corporates/organisations who have contributed to the development of social capital in Hong Kong, the Community Investment and Inclusion Fund (CIIF) has organised the biennial SCB Awards since 2012. The Awards provide an opportunity for various sectors of the community to witness and share the achievements in building social capital in Hong Kong. Corporates, organisations and CIIF-funded project teams are welcome to enrol.

Part I Corporate/Organisation1 Information

Name of Corporate/Organisation (Chinese): ______________________________________ (English): ______________________________________

Name of Functional Unit (if applicable) (Chinese): _________________________________ (English): _________________________________

Business Nature: ¨Public Utilities ¨Public Organisations & Government Departments¨Logistics and Transportation ¨Property Management ¨Construction Industry¨Tourism, Sports and Culture-Leisure ¨Hotel & Catering ¨Education¨Import/Export, Wholesale and Retail Trades ¨Information Technology¨Manufacture ¨Bank, Insurance & Finance ¨Healthcare & Public Health¨Others (Please specify: ________________________________________________)

Website (if any): _________________________________________________________

Number of Full-Time Staff Employed in Hong Kong:

1 Corporates/organisations refer to commercial entities registered with the Certificates of Incorporation and organisations in public and private sectors, such as government departments, statutory bodies, chambers of commerce, professional bodies, educational bodies, universities or tertiary educational institutions, medical institutions etc.

CORPORATES/ORGANISATIONS ONLY

(Except Social Service Agencies and

CIIF-funded Project Teams)

Application No.:

(For Official Use)

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¨50 or below ¨51-99 ¨100-499 ¨500-999 ¨1000 or more

Business Address: ______________________________________________________ Mailing Address (If different from the address given above): ______________________________________________________________________

Name of Contact Person:_____________________ Position:_______________________

E-mail:________________________________________________________________

Telephone:_______________________ Fax:_______________________________

Is your corporate/organisation a collaborator of CIIF-funded project(s) in 2018-2020: ¨Yes ¨No

If yes, please specify the project name and project number: _________________________________

Part II Assessment

This section is used to assess Corporates/Organisations’ effectiveness in building social capital. The assessment covers six core social capital dimensions, each divided into four development stages. To meet the basic requirement of SCB Logo Award, participating corporates/organisations must have engaged themselves in social capital building in 2018 to 2020 and have achieved “Fair Development” in at least four of the six core social capital dimensions.

A. Please read each of the following descriptions carefully and tick the box against the stage ofdevelopment that best describes your corporate/organisation for each core social capitaldimension.

Social Capital Dimension

Stage of Development

1. Social Networks

The breadth and depth of networks established by the corporate/

¨Basic Made occasional contacts and established initial relationships with social service agency(ies) and their service users through individual voluntary work.

¨Fair Made regular contacts with social service agency(ies) and their service users, and established close relationships.

¨Good Built sustainable partnerships with social service

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organisation with social service agency(ies)

agency(ies) (e.g. jointly formulating collaboration projects for at least two years).

¨Excellent Maintained sustainable partnerships with social service agency(ies) on the strength of a clearly defined internal corporate/organisational social responsibility policy, while introducing and engaging more corporates/organisations/bodies from different sectors to offer diverse services to serve the needy continuously (e.g. invited partners, suppliers or related professional bodies to join the corporate/organisation in ongoing service initiatives of social service agency(ies)).

2. Mutual-help and Reciprocity

The corporate/ organisation engages its expertise in social services to achieve reciprocity

¨Basic Provided general voluntary services to the community to help people in need.

¨Fair Made use of corporate/organisational strength to help people in need.

¨Good Developed reciprocal relationships with social service agency(ies) and achieved a win-win situation, i.e. both corporate/organisation and social service agency(ies) benefited (e.g. voluntary work has given colleagues a greater sense of belonging towards the company, which in turn reduces staff turnover).

¨Excellent Incorporated the social responsibility policy in its corporate/organisational development strategy to generate long-term benefits for both the community and the corporate/organisation, so that its social responsibility efforts become part of constant business development and a win-win situation can be sustained (e.g. used industry expertise to work with various sectors to benefit the community and at the same time extended its brand value to the community).

3. Trust and Solidarity

The corporate/ organisation builds mutual trust with social service

¨Basic Got to know and understand the needs of social service agency(ies) and their service users through the delivery of general voluntary services to the community.

¨Fair Identified with the service mission of and established sustainable partnerships and mutual trust with the social service agency(ies).

¨Good Drew up medium-term (e.g. two years) collaboration

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agency(ies) through participating in social services

plans with social service agency(ies) based on partnership with mutual trust.

¨Excellent Established long-term collaboration with social service agency(ies), leading to strategic partnerships with new service approaches to meet specific needs of the community (e.g. support services for underprivileged groups jointly developed by social service agency(ies)).

4. SocialParticipation

The corporate/ organisation actively and voluntarily participates in social services to maximise synergy through cross-sectoral collaboration and address the needs of the community through collaborative efforts

¨Basic Provided staff with one-off opportunities to deliver voluntary services to the community.

¨Fair Established a volunteer team and proactively joined the planning work of voluntary services in addition to arranging staff to deliver general voluntary services.

¨Good Joined partnership platforms hosted by social service agency(ies) continuously, in addition to maintaining a corporate/organisational volunteer team (e.g. joining working groups and/or committees on service planning).

¨Excellent Selected service targets strategically based on the corporate/organisational social responsibility policy and provided them with ongoing services; took the initiative to build a partnership platform and encouraged other cross-sectoral organisations to take part in the platform to address the needs of society.

5. Social Cohesionand Inclusion

The corporate/ organisation helps the needy integrate into society during its engagement in social services

¨Basic Reached out to the people in need to understand and accept their needs and characteristics through individual activities.

¨Fair Maintained regular contacts with people in need and provided appropriate voluntary services that meet their needs.

¨Good Offered voluntary assistance proactively to people in need to facilitate their social integration, in addition to making regular contacts (e.g. internships at the corporate/organisation).

¨Excellent Incorporated the social cohesion and inclusion concepts into corporate/organisational strategic development (e.g. implemented employee policies and measures that promote inclusion of different races, genders, people with disabilities and cultural diversities); reviewed the existing

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B. Supplementary Information (Please provide details with reference to your selections in Part A)

1. Does your corporate/organisation set up any volunteer team(s)? ¨Yes ¨No 2. How many times of volunteer services did your corporate/organisation participate in

2018-2020? _____________________________________ 3. How many social service agency(ies) did your corporate/organisation get in touch with in

2018-2020? _____________________________________ 4. Name the community service(s)/project(s) that your volunteer team(s) proactively joined the

planning work in 2018-2020 and describe the service(s) provided: _____________________________________________________________________________ To answer the following questions, please select ONE community service/project in 2018-2020 which can best represent the social capital achievements of your corporate/organisation:

corporate/organisational social responsibility policy regularly to ensure it serves the intended purpose and furthers social cohesion and inclusion.

6. Information and Communication

The corporate/ organisation disseminates professional information in the community, enhances the resilience of service users and improves social and economic performance through participating in social services

¨Basic Disseminated general information to the community through voluntary services.

¨Fair Used corporate/organisational strength to provide professional information for the community (e.g. medical institutions co-hosting healthcare talks).

¨Good Provided tailor-made professional expertise and skills based on the specific needs of the community and/or service users (e.g. career-oriented information to unemployed school-leavers).

¨Excellent Established dedicated department(s) and/or assigned responsible staff(s) for promoting corporate/ organisational social responsibility to provide professional expertise and skills proactively in the community (e.g. a corporate/organisational volunteer team with professional expertise to provide information and tips on maintaining household appliances in the community on a regular basis).

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5. What is the name of the social service agency that your corporate/organisation worked with?_______________________

6. How many times of joint service(s)/project(s)?7. Among the joint service(s)/project(s), please list one that can best represent the social capital

achievements of your corporate/organisation:

8. When was the above-mentioned service/project carried out?9. Briefly describe the above-mentioned service/project:10. Who was the target recipient(s) of that service/project?11. What kind of voluntary service(s) that your corporate/organisation provided in that

service/project?

Please share one impressive or touching story to illustrate how people in need, your corporate/organisation or the community benefited from the service(s)/project(s) jointly held with social service agency or other sectors:

【Please provide photos/certificates/websites or other documents for reference. If space provided is insufficient, please continue on a separate sheet.

CIIF may request additional information if necessary.】

Part III Declaration 1. Has your corporate/organisation been convicted of any criminal offences both locally and abroad

in the past three years? Yes (please provide details __________) No

2. Has your corporate/organisation involved in any prosecutions and liabilities under ruling of therelevant judicial authorities?

Yes (please provide details __________) No3. Has your corporate/organisation engaged in any business malpractices, such as harassing,

multi-level or bait practices, to sell products or services? Yes (please provide details __________) No

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4. Has your corporate/organisation violated good faith to customers during the course of business(e.g. infringing customers’ privacy) or failed to promote products or services with true and fairrepresentations?

Yes (please provide details __________) No

Part IV Terms and Signature

1. Applicant should ensure that information provided in this form is true and accurate. Consentmust be obtained from the parties concerned for disclosure of personal data in the form.

2. Award results will be announced on the CIIF website, in its publications or related promotionalmaterials.

3. Personal data provided in this form will be used for the SCB Awards and future promotion of CIIF.Any request to access or correct such personal data should be made to the CIIF Secretariat.

4. CIIF reserves the right to change the event details without prior notice.

By signing the form, your corporate/organisation agrees to be bound by the above terms.

Person-in-Charge:

Name: _____________________________ Position: __________________________

Signature and Organisation Chop:

_____________________________________Date: _______________________________

Enquiries and Contact: CIIF Secretariat Telephone: 2503 2017 Fax: 2523 7283 Email: [email protected]