Please use this form to self-nominate your company or nominate another company for an Excellence in Local Industry Award. The winners will be announced at an event on Tuesday, October 16, 2012 at The Broadmoor Hotel-Colorado Hall, Colorado Springs, CO.

AWARD NOMINATION DEADLINE: August 17, 2012


* CATEGORY 7: INDUSTRY CLUSTER TEAM AWARD
Description of Award: Presented to the Chair and Co-Chair of one of the Chamber and EDC’s six Industry Cluster Teams for outstanding leadership, innovation, and positive outcomes for their industry sector.

CATEGORY 8: MANUFACTURING COMPANY OF THE YEAR AWARD
Description of Award: Presented to a manufacturing company that has invested and innovated in such areas as energy efficiencies and environmental improvements related to manufacturing projects, community involvement, and process and product creativity.

CHOOSE THE CATEGORY IN WHICH YOU WANT TO NOMINATE THE COMPANY.

* 2. What is the name of the company (as it would be engraved on an award) you wish to nominate?

* 3. What is the business address of the company you are nominating?

* 4. What is the phone number of the company you are nominating?

5. What is the fax number of the company you are nominating (optional)?

* 6. Who is the contact person for the company you are nominating? Please give name and email address of contact person.

7. What is the website of the company you are nominating?

* 8. As the nominator, please give your first and last name.

9. As the nominator, what business (if any) are you associated with?

10. What is your business address (if applicable)?

11. Please provide your telephone number.

12. Please provide an email address if you have one.

One copy of the company logo of the nominee company must be submitted with this nomination form. Please email a .Jpeg logo (3" x 3"; at least 300 dpi) to bwasinge@uccs.edu. Photocopies are not acceptable.

* 13. Please write a nomination letter (include the industry of the company, the principal products and/or services of the company, and a description of the customers served by the business being nominated).

* 14. Please provide a business history and profile. Include a description of the company, a synopsis of its objectives, the number of years in business, the number of employees, growth history including specific information about sales or unit volume over the last 3 years, and innovativeness of product or service offered.

* 15. Please provide a statement about the contributions of the business to community-oriented projects in the Pikes Peak region, description of the creative business methods the company uses, something unique about the company (new programs, clients, etc.) and any responses the company has had to adversity--examples of problems faced in the nominee's business and the methods used to solve them.

16. If you have any additional information you wish to add about the company you are nominating, please include it here.

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