Age Smart Employer Award Application: Large Businesses & Organizations

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1 Age Smart Employer Award Application: Large Businesses & Organizations For profits and Non profits with more than 100 employees. To win recognition as an Age Smart Employer with free publicity for your business please fill out the application below by May 10. It is easy to submit different methods are explained at the end of the application. Business/Organization Profile For use by businesses and nonprofits with 100+ employees. If you have under 100 employees, go to for Small Business application. Organization Name Address Website Social Media (Facebook, Twitter) Please briefly describe your business/organization s main activity or mission. How many employees work at your business/ organization? (Full time and part time employees) Please ESTIMATE the number of employees who are over 50. How many employees are based in New York City?

2 Type of Organization For Profit Nonprofit Other, please specify below Is your business/organization family owned? Yes No How many years have you been in business? What is your industry/sector? Contact Information Full Name Title Phone Number Address Are you an authorized representative for this organization? Yes No

3 Age Smart Workplace Practices Recruitment of Older Workers 1. Does your organization actively recruit older workers? Yes No 2. Describe any innovative recruitment policies your organization uses to attract older adults.

4 Productivity and Performance of Older Workers 3. Does your organization invest in training and development opportunities for older workers? Yes No 4. Does your organization identify opportunities to develop late career employees? Yes No 5. How does your organization support managers with supervising multigenerational teams?

5 6. Does your organization have age related employee resource groups? Yes No 7. How does your organization transfer knowledge from and to older workers? 8. Does your organization have an internal employee mentoring structure? Yes No

6 9. How does your organization identify opportunities to improve the productivity of workers through changes to equipment design? 10. Describe any other innovative practices your organization uses to optimize the productivity and performance of older workers.

7 Engagement of Older Workers 11. Does your organization have flexible work hours or schedules for employees? Yes No 12. Does your organization allow employees to telecommute? Yes No 13. Describe any innovative strategies your organization uses to keep older workers engaged.

8 Retaining Older Workers 14. Does your organization have a wellness program? Yes No 15. Does your organization have a caregiver support program? Yes No 16. Describe any innovative practices your organization uses to help retain older workers.

9 Transition from Work to Retirement 17. Does your organization allow older workers to decrease their hours gradually as they move toward retirement? Yes No 18. Does your organization offer next career planning and education to workers? Yes No 19. Are post retirement opportunities with the organization offered? Yes No

10 20. Does your organization provide financial planning services for employees? Yes No 21. Describe any innovative strategies your organization uses to help older workers transition from work to retirement.

11 Additional Information Describe any additional strategies and practices that your organization uses to create an Age Smart Workplace. How did you hear about the Age Smart Employer Award?

12 Age Smart Employer Awards: How to Apply ELIGIBILITY Any business and non profit organization with at least 5 employees located in New York City. There are two different applications, one for Large Employers and one for Small Employers. If your organization has under 100 employees please use the Small Employer Application. If your organization has 100 or more employees please use the Large Employer Application. You DO NOT need an answer for every question in the application in order to apply. Application Deadline: Sunday, May 10th, 2015 SUBMISSION INSTRUCTIONS: Choose the one that works for you 1. Apply Online Use our online applications at Save and submit by May 10 th, Send in By Download the appropriate application PDF from fill it out electronically, save a copy, then it to agesmartemployer@gmail.com. 3. Send in By Mail Download the appropriate application PDF from Fill out, print, and mail OR you can print out the blank document and handwrite your answers. Mail application to: Attn: Dana R Martens The New York Academy of Medicine, Room 441A 1216 Fifth Avenue New York, NY Concierge Service Let us help you! Our interviewers can help you fill out your application. We will come to you or arrange a phone call to assist you through the process. Then, we will arrange for you to review the completed application to be sure that the answers are correct/complete. Questions? agesmartemployer@gmail.org or call Dana Martens at The Age Smart Employer Awards is an initiative of the Robert N. Butler Columbia Aging Center and The New York Academy of Medicine, funded by the Alfred P. Sloan Foundation