This award is for an outstanding Young Entrepreneur between 12-19 years old who has significantly impacted their industry or community through their entrepreneurship ventures.

*1.What is your Name?(Required.)

*2.What is your email address?(Required.)

*3.What is your Phone Number?(Required.)

*4.What is the Nominee's Business Name?(Required.)

*5.What is the Nominee's Business Address?(Required.)

6.What is the Nominee's Business Phone Number?

*7.What is the Nominee's email address?(Required.)

8.What is the Nominee's business website?

*9.Based on your description of this award, please provide 2 or 3 examples of how the nominated business has significantly impacted their industry or community through their entrepreneurship ventures.(Required.)

Example 1

Example 2

Example 3

Thank you for the Nomination!