Small Business of the Year
Minority Business of the Year
(choose one from above)

Nominee Information:
Name:
Business Name:
Owner/Principal and Title
Address:
Address:
Work Phone
Type of Business
E-Mail
Business Website
Number of Full-time employees when the business began?
Current number of employees?
No. years the business has been operating in Lenoir County?

Describe the owner's education/experience:


Describe business including but not limited to its history, its products and/or services offered. Consider including what makes this business stand out.


Demonstration of good employee relations practices/training and empowerment?


What are the unique successful characteristics of the business?


Community Involvement? (any contributions made by the business through use of he/her personal resources, time, efforts etc. Any awards and recognitions the business may have received)


Additional information of significant interest about the nominee and his/her business? (example: obstacles overcome, contributions in other areas, etc.)


Nominator Information:
Your Name:
Address:
Address:
Phone:
E-Mail:

I , (print name) acknowledge the information provided in this application is true and factual to the best of my knowledge.

Information provided will be kept confidential. Only selected Chamber Staff and the specially selected Judges will view the information. Chamber Staff reserves the right to verify any information provided in this application.