nomination form


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COMMUNITY AWARDS NOMINATION FORM Please check the box for the award you are nominating a business or individual for. Note that a recipient cannot have received an award in the past 3 years. (Education Award recipients are selected through the Chandler Unified School District) The Selection Committee reserves the right to consider any nominee in another category.

1. AWARD: Micro Business of the Year

Small Business of the Year

Business of the Year

Please print

Business Name: Owner/Principal: Business Address: City/State/Zip: Business Phone:

Type of Business:

Type of Services or Products: Year Established:

Years in Chandler:

No. Employees:

Annual Sales in $ (if known):

Reasons for recommendation: Please address each of the award criteria. List significant milestones, community and civic activities, awards, business and professional ethics, etc. (attach separate sheet, if necessary).

2. AWARD: Chamber Cup

James R. Snedigar Public Service

Community Cup

Please print

Name of Nominee: Address: City/State/Zip: Tel. # : Reasons for recommendation: Please address each of the award criteria: List significant milestones, community and civic activities, etc. List degree of nominee participation, functions fulfilled, innovations, etc. (attach separate sheet, if necessary).

Nominated By: Please print - name and business name (if affiliated with a business)

Address /City/Zip: Phone:

E-mail:

Please return completed Nomination Form by April 29, 2016 to the Chandler Chamber of Commerce, 25 S. Arizona Place, Ste. 201, Chandler, AZ 85225 c/o Sarah Miranda Nominations and supporting information can also be sent via e-mail to: [email protected]