SBOY APPLICATION OLD

BUSINESS INFORMATION

Company Name *

Phone *

Web Site

Address

Address Line 1

City

State

Zip Code

Owner/Principal's Name *

Owner/Principal's Title *

Owner/Principal's Phone *

Owner/Principal's Email *

APPLICATION PREPARER INFORMATION

Name & Title *

Phone

Email *

AWARD CATEGORY

This application is a submission for the following category:

Categories *

Emerging Business
1-10 Employees
11-50 Employees
51-150 Employees

Must be a standalone, for-profit business not associated with or owned by any non-profit entity. Business/Location must file its own tax return; it cannot be included as part of a larger business entity’s filing.

I, print name below *

Acknowledge the information provided in this application is true and factual to the best of my knowledge

GENERAL INFORMATION

Year Established *

Type of Business *

Main Products and Services *

Is your Business a "Branch," "Division," "Franchise," "Sub-division," etc. of a larger business entity?

Yes
No

Please explain

DATA BELOW SHOULD BE BASED ON INFORMATION RELEVANT TO THE CONCLUSION OF THE BUSINESSES' MOST RECENT FISCAL YEAR PRIOR TO SEPTEMBER 1, 2018

Fiscal Year's Beginning Month

Fiscal Year's Ending Month

Employee is defined as: One full-time employee; Multiple part-time employees equivalent in hours to one full-time employee; and independent contractors.

Fiscal Year Ending 2015

2015 Gross Revenue

2015 Percentage of Increase

2015 # of Full-Time Employees

Fiscal Year Ending 2016

2016 Gross Revenue

2016 Percentage of Increase

2016 # of Full-Time Employees

Fiscal Year Ending 2017

2017 Gross Revenue

2017 Percentage of Increase

2017 # of Full-Time Employees

Fiscal Year Ending 2018
if applicable

2018 Gross Revenue

2018 Percentage of Increase

2018 # of Full-Time Employees

Single Checkbox Field

Has your company or you as the owner filed bankruptcy in the last five years?

Single Checkbox Field

Has your company had any unanswered complaints with the Better Business Bureau in the last five years

EMPLOYEE RELATIONS

BENEFITS

Benefits-Other

TRAINING AND EMPOWERMENT

Training-Other

OTHER PERSONNEL BENEFITS

Personnel Benefits-Other

CUSTOMER REFERENCES

Please list three current customers

Business/Client Name *

Contact

Phone

Email

Address

City

US States

Zip

Business/Client Name *

Contact

Phone

Email

Address

City

US States

Zip

Business/Client Name *

Contact

Business Name

Contact

Phone

Email

Address

City

US States

Zip

IN ADDITION to the Application Form, please respond to the following, on EIGHT (8) SEPARATE PAGES

PAGE 1:
Business Profile: In 100 WORDS OR LESS, please describe your business, including but not limited to its history, its products and/or services offered. Consider including what makes your business stand out, what about your business makes you proud, what awards and recognitions your company has received and what you attribute the success of your business to. By submission of the Business Profile you authorize its use in future marketing initiatives, such as luncheon and breakfast programs, print ads, etc.Mission Statement: If your business has a formal Mission Statement, please state.

PAGE 2:
Business Growth & Performance: Describe growth and/or stability in your business, number of employees, sales volume, location (possible expansion), revenue, expanded or enhanced services to clients. Give examples.

PAGE 3:
Sound Business Strategies & Practices: Describe the strategic vision and management philosophy. Give examples.

PAGE 4:
Customer Service Strategies & Practices: Describe your approach to customer service, both internal and external, giving innovative and creative examples.

PAGE 5:
Business Ethics Policy: Does your company have a formal, outlined ethics policy? Or, formally stated Core Values or Guiding Principles? If so, detail. If not, explain how you deal with making ethical decisions, both internally and externally. Give examples.

PAGE 6:
Business Challenges: Describe challenges your business has faced and how they’re being addressed. Give examples.

PAGE 7:
Unique & Innovative Approaches: Describe innovation and creativity in areas of product development, marketing, etc. you use in your business. Give examples.

PAGE 8:
Community Involvement & Contribution: Describe your business’ community involvement and corporate citizenship. Give examples.

File Upload

Click or drag a file to this area to upload.

Small Business of the Year

BUSINESS INFORMATION

APPLICATION PREPARER INFORMATION

AWARD CATEGORY

GENERAL INFORMATION

EMPLOYEE RELATIONS

CUSTOMER REFERENCES

BUSINESS REFERENCES

Attorney Reference

Bank Reference

Accountant Reference

Supplier / Vendor 01 Reference

Supplier / Vendor 02 Reference

Supplier / Vendor 03 Reference

CHAMBER

PARTNERSHIPS

MEMBERSHIP