2023 Class I MBE Supplier of the Year Nomination Form
The deadline for all nominations is Friday, August 11, 2023. Winners will be announced at the virtual and in person Leadership Awards Luncheon August 25, 2023.
Class I Definition
A Certified MBE with annual sales of less than $1 million.
Name
*
First Name
Last Name
Principal Officer/Owner (First and Last Name)
*
Title
*
Company
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Race/Ethnic Identification:
*
African American
Asian American
Indian American
Asian Pacific American
Hispanic American
Native American
Other
Email
*
example@example.com
Gender
*
Male
Female
Date Certified?
*
-
Month
-
Day
Year
Date
Are you in good standing? (yes or no)
*
Please upload a copy of the current certificate to verify certification status.
*
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Business Growth and Development: Please tell us about the business.
Date the business was established?
*
-
Month
-
Day
Year
Date
Years under operation with the present owner?
*
Business Type
*
Principal Products/Services
*
Sales and Market Growth (Gross Sales): Please use actual dollar amounts, not words, in appropriate box.
Gross sales 2020
*
Gross sales 2021
*
Gross sales 2022
*
Employment/Job Creation History: Please tell us about the ability to create jobs over the past three years.
Non-Minority Employees 2020
*
Minority Employees 2020
*
Total Employees 2020
*
Non-Minority Employees 2021
*
Minority Employees 2021
*
Total Employees 2021
*
Non-Minority Employees 2022
*
Minority Employees 2022
*
Total Employees 2022
*
Social: Please tell us about your understanding of impact.
Are you familiar with Environmental, Social, and Governance (ESG)?
*
Yes
No
How does your business help your customers become more ESG compliant?
*
What do you do to help support other MBEs?
*
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