Small Business Award Program Nomination Form Survey

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1. Nominator

Nominator Award Sponsor

Award Partner

Self (go to question #3)

2. Enter your contact information here.

Enter your contact information here. Your Name:
Company:
Address:
City/Town:
State:
ZIP:
Your Email Address:
Your Phone Number:

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3. Enter the contact information for the business you are nominating here.

Enter the contact information for the business you are nominating here. Nominated Business:
Website:
Address:
City/Town:
ZIP:
State:
Number of Full-Time Equivalent Employees:
Year Company Established:
Email Address:
Phone Number:

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4. What are the products or services that are produced by the business you are nominating?

What are the products or services that are produced by the business you are nominating?

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5. Please provide information for the business representative that will attend the September 25 event should the business be selected as a category finalist:

Please provide information for the business representative that will attend the September 25 event should the business be selected as a category finalist: Name:
Title:
Cell or desk phone (with area code):
Email address:

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6. Nomination category. You may only select one category. Please complete separate nomination forms if you would like to nominate a business for more than one category.

Nomination category. You may only select one category. Please complete separate nomination forms if you would like to nominate a business for more than one category. Small Business of the Year

Minority Small Business of the Year

Woman Small Business of the Year

Exporting Small Business of the Year

Green/Sustainable Small Business of the Year

Workforce Development Small Business of the Year

Rural Small Business of the Year

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7. Nomination Statement (20 Points). Please state in 250 words or less why this business deserves to be nominated in the category you selected above. Factors to consider include the description of each award category on the website.

Nomination Statement (20 Points). Please state in 250 words or less why this business deserves to be nominated in the category you selected above. Factors to consider include the description of each award category on the website.

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8. Employment Impact (10 Points). Please describe in 125 words or less the business’s impact on employment. Factors to consider: Is your employment level stable or growing? How do you empower your employees? Do you offer training and growth opportunities for new and/or incumbent employees? Do you employ veterans? What benefits do you provide?

Employment Impact (10 Points). Please describe in 125 words or less the business’s impact on employment. Factors to consider: Is your employment level stable or growing? How do you empower your employees? Do you offer training and growth opportunities for new and/or incumbent employees? Do you employ veterans? What benefits do you provide?

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9. Innovative Entrepreneurial Business Model (10 Points). Please describe in 125 words or less the business’s unique approach to providing its product or service. Factors to consider: Why is your business successful? What practices differentiate your business from your competitors? Do you stock specialty items no one else offers? Do you cater to a specific clientele? Do you purchase from green vendors?

Innovative Entrepreneurial Business Model (10 Points). Please describe in 125 words or less the business’s unique approach to providing its product or service. Factors to consider: Why is your business successful? What practices differentiate your business from your competitors? Do you stock specialty items no one else offers? Do you cater to a specific clientele? Do you purchase from green vendors?

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10. Customer Service (10 Points). Please describe in 125 words or less the business’s approach to customer service. Factors to consider: Why do your customers keep coming back? What is unique about your customer service? Do you offer customized products or services?

Customer Service (10 Points). Please describe in 125 words or less the business’s approach to customer service. Factors to consider: Why do your customers keep coming back? What is unique about your customer service? Do you offer customized products or services?

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11. Social Responsiveness/Community Involvement (10 Points). Please describe in 125 words or less the business’s commitment to community affairs and issues. Factors to consider: Does your firm participate in local community enhancement initiatives, support community organizations, support veterans/veterans' organizations, and/or volunteer in other ways? Do your employees participate in these efforts?

Social Responsiveness/Community Involvement (10 Points). Please describe in 125 words or less the business’s commitment to community affairs and issues. Factors to consider: Does your firm participate in local community enhancement initiatives, support community organizations, support veterans/veterans' organizations, and/or volunteer in other ways? Do your employees participate in these efforts?

Small Business Award Program Nomination Form
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1. King County Executive's 2013 Small Business Award Program

Small Business Award Program Nomination FormExit this survey

1. King County Executive's 2013 Small Business Award Program

Small Business Award Program Nomination Form
Exit this survey