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Nomination

Full Name (If different from the Name of the Nominee)

Full Names of Nominee

Email

Phone

Business Name

Business Type (LLC, Sole Proprietorship, Corporation, etc.)

Business Website

Years in Operation

Brief Business Description (200 characters or less)

Prior Awards or Recognition

Highest Education Level

Personal Bio (500 characters or less)

Business Category

Entrepreneur Category

Detailed Explanation (1000 characters or less) of their impact in the chosen category

Optional attachments: articles, letters of recommendation, or media coverage

Acknowledgement that the committee has the right to verify all information and disqualify nominations with false or misleading information.

Thanks for Nominating! We;ll get back to you soon.

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