2019 Awards Nomination Form

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* 1. Your Name

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* 2. Your Business

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* 3. Your Work Phone:

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* 4. Your E-Mail

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* 5. Name of Nominee

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* 6. Nominee Title

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* 7. Nominee Business

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* 8. Business Address

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* 9. Work Phone

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* 10. E-Mail

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* 11. Select an Award

Entrepreneur of the Year Award : Recognizes those members who best exemplify the essence of the definition of "entrepreneur" - the organizer of an economic venture. One who organizes, promotes, owns/manages and assumes the risk of a business or enterprise that they started.

Corporate Citizenship Award : Honors a business that exemplifies excellent corporate citizenship in giving back to the communities in which it operates, enhancing the economic health and quality of life of its employees and its community.

Legacy Award : Honors members of our community and/or families who have been part of the chamber and business community for at least 25 years. It is both a testament to the member and their commitment to service.

Young Professional Of The Year: Recognizes a young professional who is engaged in education/career development, demonstrates leadership in their field, and is active in civic or charitable activities. YP must be a member in good standing with EPIC or the Chamber.

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* 12. Names of any other businesses or number of franchises:

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* 13. Year main business began:

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* 14. Total number of employees:

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* 15. Please write additional comments you may have about your nomination.