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1. Company (Nominee): (Required.)

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2. President or CEO: (Required.)

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3. Title: (Required.)

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4. Street address: (Required.)

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5. City, State, & Zip: (Required.)

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6. Phone number: (Required.)

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7. Email: (Required.)

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8. Website: (Required.)

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9. Principal Owners:

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10. Year founded: (Required.)

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11. Total number of employees: (Required.)

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12. Number of family members employed by the business: (Required.)

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13. Generation currently leading the business: (Required.)

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14. Name of Nominator: (Required.)

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15. Relationship to Nominee: (Required.)

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16. Nominator's Company Name: (Required.)

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17. Nominator's Phone Number: (Required.)

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18. Nominator's Email: (Required.)

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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.)

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

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

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

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

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

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