2023 Class IV 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 IV Definition
A Certified MBE with annual sales greater than $50 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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