2017 Force for Positive Change Application (NP)
The Force for Positive Change competition is intended to celebrate social enterprise in Wisconsin, including organizations that take a business model approach to making a positive difference in our state by deliberately addressing social challenges affecting people and/or the planet (i.e., double- or triple-bottom-line business models). Learn more at
View the complete application.
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
British Indian Ocean Territory
Central African Republic
Democratic Republic of the Congo
Republic of the Congo
Papua New Guinea
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
United Arab Emirates
United States Minor Outlying Islands
Virgin Islands, British
Virgin Islands, U.S.
4. Our organization (select all that apply): NOTE: All three of these conditions must be met for an organization to be eligible to compete for an award
Is an incorporated enterprise (nonprofit or for-profit company) with a revenue-generating product or service already on the market or in use
Addresses signficant social and/or environmental challenges that exist in Wisconsin (may also exist elsewhere) via products, services or operations
Has a base of operations in Wisconsin
I (the applicant) am a
Other (please explain)
Are you a current student in Wisconsin?
My organization’s/company’s relationship to Wisconsin is: (check all that apply)
Operations are headquartered in Wisconsin
At least one staffed base of operations is located in Wisconsin
Founder or current ED/CEO graduated from a school of higher education in Wisconsin
At least one FTE is based in Wisconsin
Investors are from Wisconsin
More than 50% of our customers/clients are located in Wisconsin
Other (please explain)
Please list the sector/industry that best describes the revenue-generating services/products of your organization.
Workforce and urban development
Other (please explain)
Provide your mission statement.
Number of employees.
Calculate the number of individuals on the payroll of the organization using a full-time equivalent (FTE) basis, or approximately 40 hours per week. Part-time and temporary employees should be calculated by average number of hours worked per week and the length of employment per year. Full-time equivalent (FTE) employees should exclude independent contractors, interns, temporary workers employed through an agency and working owners.
My organization’s budget for the current calendar year is (check one)
Less than $50,000
More than $50,000 but less than $100,000
More than $100,000 but less than $500,000
More than $500,000 but less than $1,000,000
More than $1,000,000 but less than $10,000,000
More than $10,000,000
My organization has been in existence (check one):
< 1 year
Between 1 and 3 years
Between 3 and 5 years
Between 5 and 10 years
More than 10 years
What societal issue are you addressing or solving? How does your specific approach make a social impact (200 words or less)?
Describe the revenue-generating aspect of your organization and how this operation relates to, funds or otherwise supports your overall mission (200 words or less).
Are there key performance indicators (KPIs) or metrics that your company tracks at least annually to determine if you are meeting your social or environmental objectives?
We don't track key social or environmental performance indicators
We measure KPIs/metrics that we have identified to determine if we are achieving our social and environmental objectives
We measure social and environmental outcomes over time (e.g., third party impact assessments, beneficiary outcome surveys, etc.)
If you meaure KPIs, provide at least one quantitative KPI (metric, number) and one qualitiative KPI (story) that demonstrates your success (200 words or less).
7. Describe the key stakeholders/clients/consumers that benefit from your organization with a particular emphasis on impacts in Wisconsin. Provide specific examples and outcomes of the positive social/environmental outcomes that appear to have depth and lasting change for the stakeholders. (200 words or less).
Supplemental materials (optional)
Submit up to three supplemental materials such as websites, brochures, annual reports, etc.
* Please merge multiple documents to one file.
Check the box below when your application is complete (you will still need to click "submit" below).
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