Tech for Good Nomination Form 2022 Tech for Good Nomination Form Org Name What is your organisations legal structure What is your organisations legal structureCommunity Benefit Society - CBSCommunity Interest Company Limited by Guarantee - CIC CLGCommunity Interest Company Limited by Shares – CIC CLSCompany Ltd by Guarantee - CLGCompany Ltd by Shares - CLSIndustrial and Provident SocietyCo-operative SocietyRegistered CharityCharitable Incorporated Organisation - CIOUnincorporated Association Company registration number What year was your social enterprise established? Address Main Contact Name Position Email Address Phone Number Facebook Twitter Instagram Website No of full time staff No of part time staff No of volunteers (FTE) No of directors/trustees What is your trading income for 2020 - 2021? What is your other income for 2020 - 2021? What is your total income for 2020 - 2021? What is your trading income for 2021 - 2022? What is your other income for 2021 - 2022? What is your total income for 2021 - 2022? Please give a short overview of the social enterprise, (no more than 200 words). Please tell us about any changes you have made due to the impact of the Covid-19 pandemic, (no more than 200 words). Please evidence how you identified a specific problem, (no more than 200 words). Please explain how your solution was unique and creative, (no more than 200 words). Please demonstrate how this has made a positive impact, (no more than 200 words). Please evidence how you know your customers and stakeholders are satisfied, (no more than 200 words). Please outline your forward looking strategy and future aim, (no more than 200 words). Referee Name Organisation Relationship to nominee Email Address Contact Number Referee Name Organisation Relationship to nominee Email Address Contact Number 12 + 15 = Submit