Chamber Awards Gala Nomination Form

1
Name of the Chamber Award* This field is required.
Please Select
Please Select
Small Business of The Year
Large Business of The Year
Non Profit of The Year
Westy Achiever
Educator of the Year
Community Servant of the Year
2
Full Name of the Nominator* This field is required.The name of the person completing this form.
3
Nominator Email Address* This field is required.The email address for the person who is completing this form.
4
Nominator Phone NumberThe phone number for the person who is completing this form.
Area Code
Phone Number
5
Nominee's Full Business NameFull name of the business you are nominating.
6
Nominee's Full Name* This field is required.Name of the main contact or the business if you do not know a point of contact.
7
Nominee's Email* This field is required.
example@example.com
8
Nominee's Phone Number* This field is required.
Area Code
Phone Number
9
Please provide specific example(s) of how the nominee meets the criteria outlined for the selected award (in 300 words or less)Go to westminsterchamber.biz/awards for full description of each award
0/300
Huge
Large
Normal
Small
Ok
Ok
10
How did you learn about this business success?
11
How is the nominee involved in the Westminster or Colorado Community?To the best of your knowledge
12
Is the business connected to the Westminster Chamber* This field is required.Not a determining factor in scoring
Yes
No
Unknown
13
Has the nominee won a Westy Chamber award in past three calendar years?* This field is required.If you do not know please select unknown
Yes
No
Unknown
14
Do you have a resume, newspaper clipping, feature story or other information to include for this nominee?
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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15
All required fields (*) must be filled out.
Should be Empty: