Nomination Form

The Walworth County Economic Development Alliance (WCEDA) wants to know about businesses or non-profit organizations that are committed to their communities and are making a positive impact.

Please review the eligibility requirements for this award before completing this form.

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* 1. I understand the nominee eligibility requirements for this award.
*If you are unsure, click on the link in the description at the top of this survey

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* 2. Enter the name of the company you are nominating

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* 3. Who is your contact at the company you are nominating?

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* 4. Contact Information

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* 5. In what industry is your nominated business?

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* 6. How many people does this company employ?

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* 7. How many years has this company been in business?

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* 8. Tell us why you feel like this company exemplifies a business that is making a positive impact in our community.
*To view the criteria for this award, click here.

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