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Platinum Quality Mark Award Application
Please complete the following sections in full.
Name
Town (or City)
Quality Mark Awarded
Payroll Giving Agency
Total Number of Employees
2010
2011
2012
Number of Employees using Payroll Giving
2010
2011
2012
Do you have overall employee sign up to Payroll Giving of 20% or increased employee take up from previous year by minimum of 10%
Select
Yes
No
Total Amount donated through Payroll Giving during the year
2010
2011
2012
Have you increased your existing employee donations through promotion by 10% from last year?
Select
Yes
No
Does your company match any donations?
Select
Yes
No
If
Yes
how much do you contribute by percentage?
Does your company pay the Payroll Giving Agency’s admin fees?
Select
Yes
No
Other Promotional Activities (
evidence of this may be required before a Platinum Award is allocated
) Encouraged pensioners (past employees) to continue to use Payroll Giving
Select
Yes
No
Used volunteers or past employees to promote Payroll Giving to current Staff
Select
Yes
No
Signed up minimum of 5 new employers to Payroll Giving in the past year
(
evidence of this will be obtained via your Payroll Giving Agency
).
Select
Yes
No
Publically demonstrates use of Payroll Giving Quality Mark and logos on website/headed paper and other promotional materials
Select
Yes
No
Demonstrated effective use of the induction and /or review process to introduce staff of Payroll Giving
Select
Yes
No
