2023 ISC Awards Application – Mark of Distinction Step 1 of 2 50% Your contact informationName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneEmail What is your representative number? Please select the DSA Canada member company you are associated with:ACN CanadaAmway CanadaArbonne CanadaAvon CanadaChalk CoutureCutco/Vector Marketing CanadaEnerUp WorldImmunotecInfinitusJuice Plus+ CanadaMannatechMary Kay CosmeticsMONAT Global CanadaNoevir CanadaNu Skin CanadaOrgano GoldPampered Chef CanadaPlexus CanadaPM-InternationalRodan + FieldsSaladmasterScentsy CanadaSeneGence InternationalShaklee CanadaShe's Got LeggzSipology by Steeped TeaSoulLifeStampin' Up CanadaSunrider International - CanadaThirty-One Gifts CanadaTocaraUSANA Health SciencesYouniqueOther Tell us about yourselfPlease provide us with a brief bio. This bio will be used to describe you if you proceed to the final round.How many years have you been an independent sales consultant?(Required) 5 - 10 11 - 15 16 - 20 Over 21 In 2022, did your company call on you to provide training or motivation to others? Please provide an example.Please provide an example of how you have achieved a company goal or a Key Performance Indicator (KPI definition - a quantifiable measure of performance over time for a specific objective.).How do you uphold the values of trust and integrity in running your direct selling business? Please provide a recent example.How do you mentor and inspire others to achieve success? Please provide a recent example.How has direct selling impacted your life?What would winning the award mean to you?Anything else you'd like to share?Upload your business headshot.Accepted file types: jpg, png, Max. file size: 9 MB.Please upload any supporting documents. Drop files here or Select files Max. file size: 32 MB. For example, publicity, presentations, testimonials, etc.Consent to use my information. I wish to opt-in to receive email communications from DSA Canada. By checking this box, I am confirming that I agree to receive communications by email or otherwise, as it pertains to the award selection process and my entry. Consent to enter the DSA Canada ISC Awards Selection Process.(Required) By checking this box, I am confirming that I have read and understood the Awards Selection Process. I hereby agree to adhere to all guidelines as a potential entrant for this award.By submitting my application, I agree to have my name, photo, bio and any other information DSA Canada deems necessary in the promotion of the ISC Award winners to be published in all DSA Canada communication outlets including, but not limited to, newsletters, social media DSA Annual Conference materials and the DSA Canada website, without further remuneration. I certify that I meet the eligibility requirements of the award I am applying for and the information provided is complete and accurate.