Shingo Prize Challenge Application

Welcome

Thank you for your interest in challenging for the Shingo Prize. We look forward to helping you through this process and assisting you with anything you need. The best resource we have available during this process is the Shingo Prize Challenge Guidelines, which will be reference throughout this process and can be downloaded at https://usu.box.com/s/cbburuymuhyqot2cdcx0bbrliu50lmrn You will find answers to many of your questions in this document.

The most important aspect of a Shingo Prize challenge is a well-grounded understanding of the Shingo Model and assessment methodology. This understanding is best gained by attending our training workshop, DISCOVER EXCELLENCE, that can be available in-house, virtually, or at various public locations throughout the year. Information on locations and workshop prices is available on the website at shingo.org/workshops. This workshop sets clear expectations for challengers and is a combination of lecture and hands-on training. For questions regarding the workshop, please contact Shaun Barker at shaun.barker@usu.edu.

There are four steps in the process to challenge for the Shingo Prize.

1. Application Process:

Application will include:

· Online Application form

· Two-page profile sheet (samples provided at usu.box.com/v/companyprofilesheet on past recipient pages

· Results (instructions included in the Guidelines)

· Entity Breakdowns

· Acceptance of Shingo Insight Participation Agreement

· Application financial obligation of $4,000 for a small organization independently owned with less than 250 employees, or $8,000 for a large organization that is part of a larger corporation or government entity with more than 250 employees; fee due after Shingo Insight survey is completed.

2. Shingo Insight:

· Web-based assessment tool personally built for your organization

3. Achievement Packet Assessment:

· Report writing instructions are included in the Guidelines.

· After the Achievement Report is submitted, a team of examiners is built to assess your Achievement Packet. Once the team is built and receives the packet, they have 45 days to review, hold a virtual leadership review meeting and send qualification to the Shingo Institute.

· Based off the examiners qualification you will either receive a site visit or not.

4. Site Visit:

· The team will be on site for 3-4 days to observe and interview all business processes.

· Based on the site visit assessment results, Shingo examiners may qualify the applicant to receive the Shingo Bronze Medallion, Shingo Silver Medallion, Shingo Prize, or no award.

· Financial obligation is approximately USA Small $10,000 - $20,000, USA Large $15,000-$30,000, International Small $15,000 - $30,000 or International Large $15,000-$40,000.

The above is just a quick overview of the cost and processes to challenge for the Prize. Please feel free to contact Brittney Ogden at brittney.ogden@usu.edu if you have additional questions, comments, or need further assistance.

Statement

By challenging and submitting requested information to the Shingo Institute, the challenging organization understands that all documents will be reviewed by Shingo examiners and Shingo Institute employees. Shingo examiners are business professionals from all over the world. The organization understands that if there are any nationalities, businesses and/or individuals that it feels must be excluded from reviewing the submitted documents, the organization has the option to contact the Shingo Institute to discuss its concerns.

Confidential Information: Throughout the assessment process, the challenging organization shall not divulge confidential information regarding products, processes or sensitive financial results. The Shingo Institute at Utah State University (USU) does not require such information. The challenging organization will not include any confidential information in the achievement report or other documents sent to USU. The challenging organization will send information helpful to examiners in assessing the cultural transformation of the challenging organization. The parties agree and understand that both parties have a substantial interest in keeping certain information confidential. To the extent that either party comes in contact with the confidential information of the other party, both parties agree to keep any such information confidential. The terms of this agreement shall be the confidential information of both parties. The disclosure of such terms or other disclosed confidential information shall not be precluded if such disclosure is required under applicable law, regulation, valid court order, or order of other governmental body to which USU is subject; provided, that either party shall first have given written notice to the other party of the need for such disclosure reasonably in advance so that the disclosing party may (if it elects) seek a protective order or other confidential treatment of the terms of this agreement. Notwithstanding the foregoing, any required disclosure of the terms of this agreement (see above) shall be limited to that which is reasonably necessary to comply with the terms of such law, regulation, court order, or governmental body; and (b) in no way alter the confidential nature of such terms for all other purposes.

Notice and Communication: Any payment, notice or other communication required or permitted to be given to either party hereto shall be in writing and shall be deemed to have been properly given and effective: (a) on the date of delivery if delivered in person during recipient’s normal business hours; or (b) on the date of attempted delivery if delivered by courier, express mail service or first-class mail, registered or certified. Such notice shall be sent or delivered to the following:

Shaun Barker

Director of Operations and Assessment

shaun.barker@usu.edu

Shingo Prize Application Form

Applicant Information

The entity name listed below may be used for media and publication purposes. Please provide the name of the applying entity exactly as you would like it used. It should identify the entity only and not a larger part of the overall organization.

Name of Applying Entity

This is the name your organization will be known as throughout the entire challenge process and will be printed on the trophy should you become a recipient. It should be a unique name that represents your specific facility. Please use the following format: Organization Name, City, State/Province, Country (for example, Shingo Institute, Logan, Utah, USA).

Entity Type:

For more information see page 15 in the Shingo Prize Challenge Guidelines

Location Street Address

Address Line 2

City/Town:

State/Province:

Postal Code/Zip Code:

Country

Industry

If this list doesn't include your industry, please choose "other."

Industry - Other

If you chose "other" for your industry, please describe the "other."

Language

Language - Other

If you chose "other" for your language, please describe the "other."

When did your organization begin its Lean/Organizational Excellence/Cultural Transformation?

Is this a re-challenge? The re-challenging entity must be identical to the original challenge.

Recipient Year:

In the form of YYYY.

Previous Level Received:

Have you taken Shingo Insight before?

Last year Insight was taken?

Contact Information

Highest Ranking Official for Applying Entity

First Name:

Last Name:

Position Title:

Email:

Phone Number:

Official Correspondence Contact

First Name:

Last Name:

Position Title:

Email:

Phone Number:

Official Contact cc

First Name:

Last Name:

Position Title:

Email:

Phone Number:

Billing Contact

First Name:

Last Name:

Position Title:

Email:

Phone Number:

Intended Achievement Report Submission Date: (MM/DD/YYYY)

For conflict of interest purposes, please list all consultants, consulting companies you have used past, present and/or future and a list of all organizations that are competitors, customers, and/or those whom you do not wish to participate on this assessment as it relates to Shingo examiners added to the potential assessment team.

Please upload your two-page company profile sheet here:

See more information on your two-page company profile sheet in the guidelines on page 16.

Please upload the Results information here:

It is very important that you follow instructions on results in guidelines on page 17. Submit highly recommended results in order on page 41 & 42 (1.SAFETY, ENVIROMENT, MORALE, 2.FINANCIAL, COST, PRODUCTIVITY 3.DELIVERY 4.QUALITY 5.CUSTOMER SATISFACTION.

Please upload the Org Chart here:

Facility Information

List all individual sites and/or facilities that make up your applying entity included in this application.

Does your organization have one or more bargaining units?:

Please enter each site/facility total number of employees:

Team Members

Managers

Executives

Please enter site/facility total operations and support square feet:

If you use meters, please convert to feet.

Additional comments

Training Information

List all individuals employed by the applying entity who have attended Shingo training workshops. Add them to the designated area of executives, managers, team members and which workshop(s) they attended and the approximate date (month and year) of the training event. Below is a list of the six Shingo workshops and the online overview offerings.

· Discover Excellence

· Systems Design

· Cultural Enablers

· Continuous Improvement

· Enterprise Alignment

· Build Excellence

· Online Team member Overview (use myeducator as affiliate)

Executives

Please provide a list of (executives only) name, title, Shingo Workshop(s), approx. date(s) and Shingo Affiliate/Facilitator that taught the workshop.

Managers

Please provide a list of (managers only) name, title, Shingo Workshop(s), approx. date(s) and Shingo Affiliate/Facilitator that taught the workshop.

Team Members

Please provide a list of (team members only) name, title, Shingo Workshop(s), approx. date(s) and Shingo Affiliate/Facilitator that taught the workshop.

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Shingo Insight Survey

Organization Participation Agreement

By submitting this Shingo Insight Assessment Application (“Application”) and/or participating in the Shingo Insight Survey (“Survey”), the organization set forth in this Application (“Participant”) agrees to the following terms and conditions:

Participation

Participant acknowledges that the Survey is provided by the Shingo Institute, a program within the Jon M. Huntsman School of Business at Utah State University (“USU”) and that the Survey is administered as a public and educational service to businesses and organizations interested in evaluating their operations based upon the Shingo principles of operational excellence. Participation in the Survey is completely voluntary.

Participant acknowledges and agrees that participation in the Survey will result in the Shingo Institute collecting various data submitted by the Participant in this Application and by its employees/membership (“Respondents”) participating in the Survey itself. Participant acknowledges and agrees that such collected data (i) may be used by the Shingo Institute to provide an assessment report to Participant, (ii) will be the intellectual property of USU, and (iii) may be used by the Shingo Institute, researchers at USU, and other researchers collaborating with USU for any academic or research purpose.

Participant acknowledges that the Shingo Institute reserves the right to use the data collected in connection with the Shingo Insight Survey for research and academic purposes. Any publication of Shingo Insight Survey data will be confined to (a) aggregated formats to ensure the confidentiality of organizations participating in the Shingo Insight Survey or (b) non-aggregated formats (e.g., raw data or other information that specifically identifies the participating organization) only after written approval has been obtained from the organization(s) that would be identified in such a publication.

Intellectual Property

“Insight Intellectual Property” means the trademarks and copyrightable materials associated with the Shingo Insight program, questions, database, etc. The Insight Intellectual Property specifically includes the Insight questions and any derivative works associated therewith.

Participant acknowledges and agrees (i) that USU is the sole and exclusive owner of all right, title, and interest in and to the Insight Intellectual Property and any registrations and applications for the Insight Intellectual Property and (ii) that Participant will do nothing inconsistent with such ownership. Participant further agrees that all use of the Insight Intellectual Property, as well as all goodwill associated therewith, shall inure to the benefit of and be on behalf of USU. Participant acknowledges that nothing in these terms and conditions grants Participant any right, title, or interest in the Insight Intellectual Property, other than the right to participate and have its Respondents participate in the Insight Survey. Participant agrees that it will not challenge, directly or indirectly, USU’s right, title, or interest in any of the Insight Intellectual Property or the validity of any of the Insight Intellectual Property. Participant shall promptly sign all lawful papers and perform all other lawful acts that USU may request to perfect USU’s ownership interest of the Insight Intellectual Property and any derivative works thereof. Participant agrees that USU is the sole and exclusive owner of all right, title, and interest in and to any derivative works of the Insight Intellectual Property. Participant agrees not to produce any such derivative work. Participant agrees not to copy, reproduce, make derivative works from, or otherwise use the Insight Intellectual Property for any purpose other than purposes approved by USU to facilitate the administration of the Survey. Participant understands, acknowledges, and agrees that USU may use the data collected from the Survey for academic and research purposes.

Participant agrees that USU has the sole right and discretion to control the filing and prosecution of all applications to register rights in the Insight Intellectual Property in all countries of the world, and the maintenance of any and all such registrations. Participant agrees to cooperate, at USU’s request and expense, in any action (including the conduct of legal proceedings) that USU deems necessary or desirable to establish or preserve USU’s exclusive rights in and to the Insight Intellectual Property.

Liability

Participant agrees that USU shall not be liable for any special, consequential, lost profit, expectation, punitive or other indirect damages in connection with any claim arising out of or relating to these terms and conditions, whether grounded in tort (including negligence), strict liability, contract, or otherwise. Participant shall indemnify, hold harmless, and defend USU against any claim of any kind arising out of or related to the breach of these terms and conditions by Participant or any Respondent.

Electronic Signature

By selecting "Accept" and submitting this Application, the below listed signatory, a duly authorized representative of Participant, hereby electronically signs this Participation Agreement on behalf of Participant. This electronically executed Participation Agreement together with the completed and submitted Application shall be considered an original.

Accept

Name

Title

Thank you for completing the Shingo Prize Challenge Application.

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Shingo Insight Survey

Request for Information Agreement

By submitting the accompanying Application and/or participating in the Shingo Insight Survey (“Survey”), Participant (as defined herein) agrees to the following terms and conditions:

Definitions: “Participant” means the company, group, department, etc. whose membership/employees (“Respondents”) will participate in the Survey. “Insight Intellectual Property” means the trademarks and copyrightable materials associated with the Shingo Insight program, questions, database, etc. The Insight Intellectual Property specifically includes the Insight questions and any derivative works associated therewith.

Participant agrees (i) that USU is the sole and exclusive owner of all right, title, and interest in and to the Insight Intellectual Property and any registrations and applications for the Insight Intellectual Property and (ii) that Participant will do nothing inconsistent with such ownership. Participant further agrees that all use of the Insight Intellectual Property, as well as all goodwill associated therewith, shall inure to the benefit of and be on behalf of USU.

Participant acknowledges that nothing in these terms and conditions grants Participant any right, title, or interest in the Insight Intellectual Property, other than the right to participate and have its Respondents participate in the Insight Survey. Participant agrees that it will not challenge, directly or indirectly, USU’s right, title, or interest in any of the Insight Intellectual Property or the validity of any of the Insight Intellectual Property. Participant shall promptly sign all lawful papers and perform all other lawful acts that USU may request to perfect USU’s ownership interest of the Insight Intellectual Property and any derivative works thereof.

Participant agrees that USU is the sole and exclusive owner of all right, title, and interest in and to any derivative works of the Insight Intellectual Property. Participant agrees not to produce any such derivative work. Participant agrees not to copy, reproduce, make derivative works from, or otherwise use the Insight Intellectual Property for any purpose other than purposes approved by USU to facilitate the administration of the Survey.

Participant understands, acknowledges, and agrees that USU may use the data collected from the Survey for academic and research purposes. Participant agrees that USU has the sole right and discretion to control the filing and prosecution of all applications to register rights in the Insight Intellectual Property in all countries of the world, and the maintenance of any and all such registrations. Participant agrees to cooperate, at USU’s request and expense, in any action (including the conduct of legal proceedings) that USU deems necessary or desirable to establish or preserve USU’s exclusive rights in and to the Insight Intellectual Property.

Participant agrees that USU shall not be liable for any special, consequential, lost profit, expectation, punitive or other indirect damages in connection with any claim arising out of or relating to these terms and conditions, whether grounded in tort (including negligence), strict liability, contract, or otherwise. Participant shall indemnify, hold harmless, and defend USU against any claim of any kind arising out of or related to the breach of these terms and conditions by Participant.

Electronic Signature

By selecting "Accept" and submitting this Application, the below listed signatory, a duly authorized representative of Participant, hereby electronically signs this Participation Agreement on behalf of Participant. This electronically executed Participation Agreement together with the completed and submitted Application shall be considered an original.

Accept

Organization Name

First & Last Name

Title

Email

Phone Number