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International Asia Pacific Quality Award(IAPQA) –2009
Application and Eligibility Certification Form

1. APPLICANT
Official Organization Name:
Other Name :
Prior Name :
Headquarters' Address:
Website :

2. HIGHEST RANKING OFFICER (CEO)
Mr. Mrs. Ms. Dr.
Name : 
Title :
Address :
Telephone Number :
Fax Number :
Email Address :

3. ELIGIBILITY CONTACT POINT
Mr. Mrs. Ms. Dr.
Name : 
Title :
Address :
Telephone Number :
Fax Number :
Email Address :

4. ALTERNATE ELIGIBILITY CONTACT POINT
Name : 
Title :
Address :
Telephone Number :
Fax Number :
Email Address :

5. AWARD CATEGORY (Select as applicable)
   
  Small Manufacturing Organizations (less 250) Large Manufacturing Organizations
  Small Service Organizations (less than 250) Large Service Organizations
  Educational Organization Not for profit organizations including government organizations
  Health Care Organizations  
     
6. SIZE & LOCATION OF APPLICANT :
  a. Total number of
  Employees (business) :
Faculty/Staff (education) :
  Staff (health care) :
  b. Preceding fiscal year:
  Choose one financial descriptor : Sales Revenue Budget
  Choose amount(in US Dollar):    
  c. Number of sites in : Home Country/Territories Overseas
  d. Percent employees in : Home Country/Territories Overseas
  e. Percent physical assets in :Home Country/Territories Overseas
   
7. INFORMATION ON YOUR SUCCESSFUL NATIONAL AWARD(2005 - 2007) :
  Name of National/Regional Award :
  Date your successful award announced: Year :
  Date your successful award received :    Year :
  Name of Country issuing award :
  Name of organization(s) and/or governmental agency(ies) sponsoring award:
 
 

Name and addresses of organization(s) that assess, evaluate and select award:

 
 

Category(ies) that your award qualified in:

 

Name(s) of all other national winners in these categories, if any (list all) :

 
 
The National Quality Award Organization must include in its evaluation of the candidates a visitation that verifies that the documents reflect the organization’s actual procedures. Please furnish dates of site visit(s) by the organizers of your national award and provide support documentation (preferably a letter from the organizer). Locations and Dates Visited.
 
Location : Date visited : Year :
 
8. Submission of Documents for the IAPQA:

All materials must be in English. Please submit four (4) complete copies of Baldrige Application, four (4) complete copies of National Quality Award (NQA) Feedback, one (1) copy of the evidence as a National Quality Award  winner, one (1) copy of IAPQA Application & Eligibility Form and all supporting materials/documents to:

DR. CHARLES A. AUBREY II
Anderson Packaging
4545 Assembly Drive, Rockford, IL 61109
U.S.A.


9. Payment Procedure :

a. Mail your check in US$1,850.00 for APQO member country and US$2,000 for APQO non-member country and addressed to Asia Pacific Quality Organization (registered mail to avoid tax charges) together with a copy of the filled-up IAPQA Application & Eligibility Certification Form to the APQO Executive Office.

APQO Executive Office Address:
VICTORIA M. VALLESTERO
Asia Pacific Quality Organization
No. 45 Hybrid St., Phase VI,
GreenWoods Executive Village,
Cainta Rizal, PHILIPPINES 1660

Note: Send copy of the bank wire transfer thru e-mail at: admin@apqo.org

OR


b. Deposit the amount (consider tax charges) and write the following: 

Name of Payee: ASIA PACIFIC QUALITY ORGANIZATION
Name of Payor: (Name of the person or representing organization)
Bank Name: Bank of the Philippine Islands
Bank Address: BF Homes Branch, Aguierre Avenue cor. Elsie Gaches St.,
BF Homes Subdivision Phase I, Paranaque City, Philippines
   

Dollar Savings Account No. 8254-0274-65

Swift Code:  BOPIPHMM

The International Asia Pacific Quality Award is based on the U.S. Malcolm Baldrige National Quality Award (MBNQA). All applicants are required to submit an application form along with the feedback report addressing all criteria based on MBNQA. Application forms are available and can be downloaded from our website: www.apqo.org

If your National Award uses the MBNQA format, copies, in English, of your original award application will suffice.
Additional Supporting/Required Material:

  • Copy of your application for your National Quality Award (in English).
  • Completed Malcolm Baldrige National Quality Award Application. Note: Not required if your national award is based on MBNQA.(Limit 60 pages).
  • Current Organizational Description (See MBNQA current Criteria for Performance Excellence requirements). (Limit 5 pages). (OPTIONAL)
  • Current Organizational Challenges (See MBNQA current Criteria for Performance Excellence requirements). (Limit 5 pages). (OPTIONAL)

10. Self-Certification Statement, Signature—Highest-Ranking Officer

I certify that the answers provided are accurate and that my organization is eligible based on the current requirements for the Malcolm Baldrige National Quality Award. I understand that at any time during the Award Process cycle, if the information provided was inaccurate, my organization will no longer be eligible for the award.


  Message:
 



Download IAPQA Application Form 2009.pdf