Small Business Person of the Year Award Nomination Form
Deadline: December 22

The Small Business Person of the Year Award recognizes an individual dedicated to the support of the small business community in Jefferson County. Nominees must be members of the Chamber to qualify.

Judging Criteria:
A panel of judges will independently score each of the nominations based on the following:
- Staying Power
- Growth in number of employees
- Increase in sales and/or unit volume
- Current and past financial performance
- Innovativeness of product or service offered
- Response to adversity
- Contributions to community-oriented projects

The Madison Area Chamber of Commerce will assist the award winner with nomination to the Small Business Administration for the national award.

Please provide the following information about the person you are nominating:
Name of Nominee
Your answer
Business Name
Your answer
Contact / Title at Business
Your answer
Business Address
Your answer
Phone Number
Your answer
Please provide the following information about yourself:
Name of Sponsor
Your answer
Home Address
Your answer
Email & Phone Number
Your answer
Relationship to nominee
Your answer
Please answer the following questions about the person you are nominating.
How has this person been innovative with the products or services they offer?
Your answer
How has this person responded to adversity?
Your answer
How has this person contributed to community-oriented projects?
Your answer
Please list any additional information you would like the selection committee to consider.
Your answer
Please type your name and the date below, as a signature that the above information is accurate to the best of your knowledge.
Your answer
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