2021 NEXT AWARDS INDUSTRY APPLICATION

2021 NEXT AWARDS INDUSTRY APPLICATION FORM

Monday, October 25th at Schermerhorn Symphony Center.
The Nashville Entrepreneur Center is honored to host the 2021 NEXT Awards to celebrate each of you – entrepreneurs in our community and the important work you are doing within in your industries and the communities you serve.

As part of the show we will be awarding companies in four indstry categories in each of the following stages:
- Emerging - Companies with revenue of below $1M
- Market Mover - Companies with revenue of $1M and above
Qualifications to apply for an Industry Category:
- Founder is still actively working with the company
- The company must be headquartered in Middle Tennessee
If you have all the necessary information, this application takes up to 30 minutes to complete. You are able to save and come back to the application. If you want to see a PDF version of this application before starting, please click here.

For more on how this information will be used, please view our applications and nominations FAQ.
General Information
Name of person submitting this application (Your Name): *

First Name Last Name
Your Title: *
Your Email: *
example@example.com
Your Phone Number: *

Area Code Phone Number
Company industry: *

Healthcare Music, Sports and Entertainment Products, Services and Retail Real Estate, Hospitality and Construction Technology
My company qualifies as: *

Emerging (less than $1M in revenue over the last 12 months) Market Mover ($1M in revenue or above over the last 12 months)
Company Name (Exactly how you want it to appear if you win): *
Name of Founder (must be still active with company in order to qualify): *

First Name Last Name
Name of Co-Founder (if applicable)

First Name Last Name
Email of Founder: *
example@example.com
Company Website: *
Company Social Media Pages: *
Please include a space between each handle/URL.
Company Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
**Qualification: You must be headquartered in Middle TN. Is the company headquartered in one of the following counties? (Counties include: Cannon, Cheatham, Davidson, Dickson, Hickman, Macon, Maury, Marshall, Montgomery, Robertson, Rutherford, Smith, Sumner, Trousdale, Wilson, Williamson) *

Yes No

Company Information
What year did your company launch? *
What problem does your company address, and how are you solving that problem? *
Tell us about your company’s value proposition. What is unique and innovative about your business’ product or service? *
How has your business pivoted or expanded since its inception? *
What is the vision for the future of your company, and how will you get there? *
How is your company involved in the community? *
How will your businesses success affect Middle Tennessee's future? *
As a founder, how do you or have you supported other entrepreneurs? Please be as specific as possible. We are looking to understand the types of activities, how often they occur and value to enhance the larger ecosystem. Types of activities include: investment, advising, advocating, teaching, mentoring, etc. *
Please provide the metrics or achievements you can share that help quantify the scale of your entrepreneurial success. These could be numbers such as revenue achieved, the size of a successful exit, number of employees, or whatever you think is most relevant to help us understand. *

Statistics and Financial Information

*Your company name and information will remain anonymous when sharing the financial numbers for review.
Total number of full-time employees today *
Full-time employees are defined as 32+ hours a week.
Total number of full-time employees as of 12/31/20 *
Full-time employees are defined as 32+ hours a week.
Total number of full-time employees as of 12/31/19 *
Full-time employees are defined as 32+ hours a week.
Total number of full-time employees as of 12/31/18 *
Full-time employees are defined as 32+ hours a week.
Total number of part-time employees today *
Part-time employees are defined as 32 hours a week or less.
Total number of part-time employees as of 12/31/20 *
Part-time employees are defined as 32 hours a week or less.
Total number of part-time employees as of 12/31/19 *
Part-time employees are defined as 32 hours a week or less.
Total number of part-time employees as of 12/31/18 *
Part-time employees are defined as 32 hours a week or less.
Total number of contractors today *
Total number of contractors as of 12/31/20 *
Total number of contractors as of 12/31/19 *
Total number of contractors as of 12/31/18 *
Total revenue generated during the current year (January 1, 2021-May 31, 2021) *
Total revenue generated in 2020 (January 1-December 31) *
Total revenue generated in 2019 (January 1-December 31) *
Total revenue generated in 2018 (January 1-December 31) *
Is your company profitable? *

Yes No
Name your two most significant business-related milestones in the last twelve months. *

Founder Questions
What motivates you about being an entrepreneur? *
How are you personally involved in the community? *
What is the best advice you ever received? *
What advice do you have for other entrepreneurs? *

Final Questions and Submission
How did your hear about this opportunity? *
Please be as specific as possible.
Please upload an .eps or high-res transparent .png version of your company logo. *

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Please upload a high-res founder headshot. *

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As an applicant for the 2021 NEXT Awards, I hereby give permission to the Nashville Entrepreneur Center and associated NEXT Awards partners to use the provided logo, photos, company name(s), and applicant name for advertising, public relations, trade, and any other lawful purposes. I understand this includes, but is not limited to, uses such as print, radio, television, online, and social media production of awards event. *

Please sign here. Clear
I certify: This information is true and accurate to the best of my knowledge. *

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2021 NEXT AWARDS INDUSTRY APPLICATION FORM

General Information

Company Information

Statistics and Financial Information

Founder Questions

Final Questions and Submission