TiECON SE 2013 Awards - 2013 Entrepreneur

"2013 Entrepreneur" - Nomination Form

Companies must be located as a primary place of business in Georgia, Florida, South Carolina or North Carolina. All companies and products are eligible for consideration based on their business accomplishments made during calendar 2012. Companies may be nominated for multiple award categories, and companies may win multiple awards. There are no fees to nominate companies for consideration. TiE Membership/Sponsorship is not a criterion for selection.

Candidates for the 2013 Entrepreneur award must meet the following specific criteria:
- CXO of the Company
- Demonstrated milestones specific to 2012

- The deadline for all nominations is April 10, 2013
- Attendance at the conference is encouraged. The awards portion of the TiECON Southeast 2013 Conference will be held from 4:00 p.m. - 6:00 p.m. at the Renaissance Atlanta Waverly Hotel.
- All information will remain confidential to the judging team. If you have any questions, please contact admin@tie-atlanta.org.

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* Nominee Information:

Name: *

Company: *

Title:

Email Address: *

Phone Number: *

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* Nominee's Assistant (If applicable)

Name:

Email Address:

Phone Number:

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* Nominator information (if different from nominee)

Name:

Company:

Phone Number:

E-mail Address:

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* Your affiliation with the Nominee (if any):

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* DESCRIBE YOUR COMPANY/VENTURE (Up to 150 words)

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* DESCRIBE YOUR ROLE AND RESPONSIBILITIES IN THE COMPANY (Up to 150 words)

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* PLEASE SHARE YOUR SIGNIFICANT MILESTONES (Up to 200 words)

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* HOW HAVE YOU CONTRIBUTED TO THE COMMUNITY? (Up to 200 words)

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* LIST ANY ADDITIONAL INFORMATION WE SHOULD BE AWARE OF - INNOVATION, SPECIAL CIRCUMSTANCES, UNIQUE CHALLENGES, ETC. (Up to 200 words)

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* Describe the untapped or newly created market, product and/or service you have developed. (<less than 250 words)

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* As the leader of your company, how have you contributed to the growth and profitability? (<200 words)

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* I CERTIFY THAT ALL INFORMATION IS CORRECT

Yes