Small Business Recognition Awards

2007 Print/Fax Nomination Form

You may fill in this form on the computer or by hand.  Print a hard copy, and mail or fax with the 200 word maximum responses to the applicable questions and optional supplementary attachments (up to 3 pages total) to Phyllis Copeland (see contact information below).  If you prefer to complete on line, please go back to the information page and click on the bar "Go to Online Nomination Form." 

All materials must be RECEIVED by Angela Suber by 4:00 pm EST on Friday, March 23, 2007.  Any nomination packages that do not meet guidelines (e.g., incomplete forms, responses over 200 words, supplemental information over 3 pages total) will be disqualified.  Please contact Phyllis Copeland or Jennifer Kimbrough (below) with any questions.

Nominee - 

Email - 

Phone - 

Address - 

County - 

Contact Person - 

Email - 

Phone - 

Address - 

Your Name (nominator) - 

Email - 

Phone - 

Address - 

Approx. No. of Employees  

Industry Type  

QUESTIONS

Please provide responses of up to 200 words addressing each of the questions outlined for the Small Business Award of interest.  It is recommended that you develop the responses in Word or another program with word counting capabilities.  Mail or fax this hard copy form, activity summary, and any supplemental information (up to 3 pages total) together to Phyllis Copeland (above).  Note that the entire application will be disqualified if the word limits (200 words each question) or supplemental information limits (3 pages) are exceeded.  Please provide specific descriptions and examples to support each of your responses.  Any attachments sent must be in support of one of these questions. 

The questions for each Small Business Award may be found at: