2012 BBE Application

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1. Personal Information

Personal Information   Name:
Company:
Address:
Address 2:
City/Town:
State:	-- select state --AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming
ZIP/Postal Code:
Email Address:
Phone Number:

2. Additional participants

Additional participants

3. Years in business (minimum 3 years)

Years in business (minimum 3 years)

4. Describe the products or services which your company provides.

Describe the products or services which your company provides.

5. Describe your basic philosophy in conducting business. Please include your mission, vision, and value statements if available.

Describe your basic philosophy in conducting business. Please include your mission, vision, and value statements if available.

6. Briefly discuss the high growth potential of your business.

Briefly discuss the high growth potential of your business.

7. Do you have financial decision-making authority within the company?

Do you have financial decision-making authority within the company?   Yes No

8. Describe a time when you felt great about winning in a competitive activity.

Describe a time when you felt great about winning in a competitive activity.

9. What is the most valuable thing you learned about your business during the last year?

What is the most valuable thing you learned about your business during the last year?

10. What was the biggest change you made within your business during the last year?

What was the biggest change you made within your business during the last year?

11. What was the biggest commitment you made last year? Describe how you kept that commitment.

What was the biggest commitment you made last year? Describe how you kept that commitment.

12. How did you hear about the BBE program? Please provide the name of the organization and contact.

How did you hear about the BBE program? Please provide the name of the organization and contact.

13. I acknowledge that it will be necessary to share financial information for my company with the Building Business Excellence program staff in order to analyze and prepare my business growth plan. This information will be kept confidential.

I acknowledge that it will be necessary to share financial information for my company with the Building Business Excellence program staff in order to analyze and prepare my business growth plan. This information will be kept confidential.   I accept these terms I do not accept these terms

14. Date:

Date: