2025 Regional Corporate Member of the Year Nomination Form
The deadline for all nominations is September 8, 2025. Winners will be announced at the virtual and in-person Leadership Awards Luncheon on September 18, 2025.
Please tell us who is submitting this nomination.
Certified MBE firm
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MBE Owner Name
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Name
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First Name
Last Name
Job Title
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
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example@example.com
Regional Corporate Member of the Year Nomination
A regional SRMSDC Corporate Member that is located in Arkansas, Alabama, Louisiana or Mississippi in GOOD STANDING that has demonstrated extraordinary commitment to developing and contracting with SRMSDC certified MBEs through their: 1) innovative supplier diversity initiatives and/or programs; 2) working relationships with outreach organizations like SRMSDC through sponsorship, event preparation, and committee activity; 3) overall spend metrics that support increases in direct, indirect and new spend with Southern Region MBEs; and 4) activities and efforts toward MBE spend goals.
Corporate Member
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Coordinator/Contact
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Name
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First Name
Last Name
Title
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Why do you feel that this corporation deserves this award?
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Submit
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