* 1. Company (Nominee):

* 2. President or CEO:

* 3. Title:

* 4. Street address:

* 5. City, State, & Zip:

* 6. Phone number:

* 7. Email:

* 8. Website:

* 9. Principal Owners:

* 10. Year founded:

* 11. Total number of employees:

* 12. Number of family members employed by the business:

* 13. Generation currently leading the business:

* 14. Name of Nominator:

* 15. Relationship to Nominee:

* 16. Nominator's Company Name:

* 17. Nominator's Phone Number:

* 18. Nominator's Email:

* 19. In 300 words or less, what is the history of the business being nominated? (Be sure to discuss the competitive advantages at the time the business started.)

* 20. In 300 words or less, what have been the indicators of success and how have they increased or decreased over time?

* 21. In 300 words or less, how has the business given back to its community/communities?

* 22. In 300 words or less, what role does the family play in the business?

* 23. In 300 words or less, what indicators are there that this business is a good place to work?

* 24. In 500 words or less, why should this business be recognized with a Family Business First Award?

T