Department or Business Unit Submitting
Contact Name *
Contact email *
Web site URL
Agriculture, Forestry, Fishing, Hunting
Transportation & Warehousing
Information Technology & Services
Finance & Insurance
Real Estate, Rental & Leasing
Professional, Scientific & Technical Services
Administrative, Support & Waste Mgt Services
Healthcare & Social Services
Arts, Entertainment & Recreation, Media
Accommodation & Food Services
Government (Federal, State, Local)
a.For profit organizations
i.Annual Revenue FY 2012, all business units
1.Percentage increase/decrease over 2011
ii.Net Income FY 2012
1.Percentage increase/decrease over 2011
b. Non-profit, Government or Education
i.Annual operating budget
1.Number of Full Time Employees (FTE) all locations
2.Total annual training & development budget, all business units FYI2011
3.Remote workers as percentage of workforce
4.Mobile workers as percentage of workforce
5.Tuition/ Financial aid for continuing education
6.Annual training hours per FTE
7.Learners served by organization(Check all that apply)
1.Does your organization have a chief executive level talent, people, learning or development leader? If yes, please identify the most senior person for purposes of this application. If “no” proceed to question 4.
2.Does this executive report to the CEO or equivalent?
3.In which locations are the learning leader(s) located within your organization(Check all that apply)
4.Which of the following programs does your organization offer, at which frequency and/ or virtually?
Collaborative Learning (Informal Outside Classes)
First time supervisor training
Cross function Job rotation
Global job rotations
Mobile performance support
Remedial skills training
High Potential Training
5.What percentage of training hours are conducted by:(0-100%)
a.Classroom based instructor led
b.Virtual Classroom instructor led
d.E-learning, blended or online learning
6.How is learning and development measured by your organization?(Check all that apply)
7.How are learners assessed(Check all that apply)
8.Which of the following technology enablers does your company use or plan to use as part of the learning & development efforts.(Check all that apply)
8a. If you use mobile learning, please indicate how mobile learning is used (Check all that apply)
9.Which of the following practices do you use or plan to use within 12 months(Check all that apply)
9a. If you use social learning, which of the following solutions do you use (Check all that apply)
10.On a scale of 1 to 5, 5 being always, and 1 being never, rate your organization on the following elements
a.Employees at all levels ask questions and share stories about successes, failures and what they have learned.
b.Managers share information on a need-to-know basis.
c.Everyone creates, keeps, and propagates stories of individuals who have improved their own processes.
d.Employees take at least some time to reflect on what has happened and what may happen.
e.Each employee believes they know what to do and they proceed on this assumption
f.Little time or attention is given to understanding lessons learned from projects
g.People are treated as complex individuals
h.Managers encourage continuous experimentation.
i.People are hired and promoted on the basis of their capacity for learning and adapting to new situations
j.Employees proceed with work when they feel certain of the outcome
k.People are hired and promoted on the basis of their technical expertise as demonstrated by credentials.
l.Performance reviews include and pay attention to what people have learned
m.Senior managers participate in training programs designed for new or high-potential employees.
n.Seniors managers are willing to explore their underlying values, assumptions, beliefs and expectations.
o.Performance reviews focus mostly on what people have done
p.Senior managers appear only to “kick off” management training programs
q.Senior managers are unwilling to explore their underlying values, assumptions, beliefs and expectations.
r.Conversations in management meetings constantly explore the values, assumptions, beliefs and expectations underlying proposals and problems.
s.Customer feedback is solicited, actively examined, and included in the next operational or planning cycle
t.Managers presume that energy comes in large part from learning and growing
u.Conversations tend to move quickly to blaming with little attention to the process that led to a problem or how to avoid it in the future
v.Customer feedback is not solicited and may be ignored when it comes
w.Managers presume that energy comes from ‘corporate success,’ meaning profits and incentives
x.Managers think about their interest in and capacity for learning new things, and that of their employees.
y.Employees are treated as resources with little attention to their individuality
z.Managers know all they need to know and employees do not have the capacity to learn as much.
1.What level of collaboration technology does your organization display. Rate on a scale of 1-10, where level 1 is lowest):
Collaboration Technology Score
2.Does your organization’s culture support collaboration? Are there collaborative behaviors such as information sharing, consensus-based decision making, support for teams, and the ability to fail and learn. (Rate on a scale of 1-10, where level 1 is lowest):
Collaborative Culture Score
3. For-profit organizations: What financial or economic impact does collaboration have to your organization? (Rate on a scale of 1-10, where level 1 is lowest):
Collaboration’s Financial Impact Score
4.For non-profit organizations: What impact does collaboration have on achieving organizational goals? (Rate on a scale of 1-10, where level 1 is lowest):
Collaboration’s Goal Attainment Score
5.What impact does collaboration have on you as an employee? How does organizational collaboration help you to meet my ideological and financial goals? ? (Rate on a scale of 1-10, where level 1 is lowest):
Employee Collaboration Score
6.What is management’s attitude and behaviors towards collaboration? (Rate on a scale of 1-10, where level 1 is lowest):
Management’s Collaboration Score
1.Describe what makes your organization a Learning! 100? 1000)
2.Nominate one recent program for the Learning! 100 consideration: 1500)
Upload charts, graphs, work samples.(Uploading new one will replace previous one)
3.Which brands or solutions did you use to execute this program?:
4. Please provide video link reflecting your organization’s brand or culture. (Field to type link only- do not upload video):
5.Describe challenge: 1000)
6.How did you solve the challenge: Describe in terms of People, Process & Tools: 1000)
7.Describe results of initiative, how measured? 1000)
8.What was total investment of initiative?
Note: This may take several minutes to complete.