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* 1. Who is completing this form?

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* 2. Mandatory Attendance of Judging day and the Awards Ceremony
If shortlisted, please confirm that the nominee is able to attend a short interview with the judging panel and the Awards Ceremony

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* 3. Is the nominee a rising star or senior leader?
Rising Star - (aged 35 or younger on 12 April 2021)

Senior Leader - (generally with at least 10 years’ experience)

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* 4. Is the nominee an entrepreneur with their own operational business?
The business must have been operational for a minimum of 18 months prior to 30th April 2021

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* 5. Which sector does the nominee work in?

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* 6. Details of the nominee

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* 7. What is the current number of employees in the nominee's business?

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* 8. Type of Business Entity

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* 9. Financial Information
Please provide your projected turnover and net profit for 2021

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* 10. Financial Information
Please provide your turnover and net profit for 2020 and 2019. If you are unable to provide finalised account information for 2020, please state your projected turnover and profit

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* 11. Financial Reference Details
Must a certified business professional, i.e. Bank Manager or Chartered Accountant

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* 12. The nominee's business
In 100 words, please give a brief overview of the nominee's company including the nature of the business, and brief description of it's activity

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* 13. Tangible Evidence of the Nominee's Success
In 300 words, please outline nominee's career path and provide tangible evidence demonstrating the business success (e.g. profitability, growth, market share, competitive USP, awards, nominee's approach to business  development, etc.)

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* 14. Industry Support
In 100 words, please explain how the nominee supports others in their industry and why they are a role model to others aspiring to work in that particular industry

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* 15. Supporting Evidence
If you would like to submit supporting evidence, please indicate below and uploaded a maximum of three documents

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* 16. Upload File

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 17. Declaration
To be signed by the person completing this nomination form

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* 18. Confirm your details

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* 19. Further correspondence

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* 20. How did you hear about The Black British Business Awards?

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