2022 Minority and Women-Owned Enterprise Award Nomination Form

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Home / Programs & Services / Minority Enterprise Development (MED) Week / 2022 Minority and Women-Owned Enterprise Award Nomination Form

Minority and Women-Owned Enterprise Award Nomination Form

Minority or Woman-Owned Enterprise Development Nomination Form 2022

YOUR INFORMATION (Nominator)
Nominator Name*
Nominator Company*
Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Email*
NOMINATED BUSINESS INFORMATION (Nominee)
Name of Business*
Name of Owner*
Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Email*
Which Category are you nominating the Individual/Business for?*
Which Industry does the Nominee operate in?*
Please provide any other information you feel would help the committee in their selection process.
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Minority and Women-Owned Enterprise Award Nomination Form

Minority or Woman-Owned Enterprise Development Nomination Form 2022

YOUR INFORMATION (Nominator)

NOMINATED BUSINESS INFORMATION (Nominee)