2015 WBE ADVOCATE OF THE YEAR AWARDLACE Awards Nominee Questionnaire

CONGRATULATIONS on being nominated for the GWBC® 2015 LACE Awards WBE Advocate of the Year.This award will be presented to either a GWBC Certified WBE business owner (CEO/President) or an employee of a GWBC Certified WBE. The Award Winner will be recognized and honored for their proven methods in mentoring, coaching and supporting women-owned businesses.

To help us make a fair and equitable selection, please complete the following according to the 2014 calendar/fiscal year. All submitted information is kept strictly confidential and is destroyed after all award selections are finalized.

IMPORTANT:

- 2014 LACE Awards Winner’s DO NOT qualify in their Winning Category for 2015 Nominations or Applications.

- All questions must be answered. Failure to answer all questions or to complete the application in its entirety will automatically disqualify the applicant.

- Please do not leave any requested questions or information blank (e.g. email addresses, company name, contact, etc.)

- Please limit your responses to all open-ended questions to 500 words ONLY.

- Completed application MUST be received by GWBC by 5 PM, Monday, October 19, 2015. (No extensions will be granted.)

- Please email your application to awards@gwbc.biz ONLY. Any questions about the application should also be directed to this email address.

Section 1: Checklist

1. Complete all sections and questions in their entirety.

2. Submit a high-res color headshot, in JPEG format.*

3. Submit a high-res company logo, in JPEG or EPS format.*

*Please email your headshot and company logo in high-res format to awards@gwbc.biz.

1 | P a g e

Section 2: Required Signature

Company Name:

Nominee Name: (First) (Last)

*By typing your full name, you agree that the foregoing statements and submittals of information are true and correct and include all materials necessary to identify and explain the information responses. The undersigned also agrees to hold GWBC harmless in any claim arising out of this nominee application and agrees to indemnify the GWBC for any liabilities.

Nominee Signature*:

Date:

2 | P a g e

Section 3: Nominee Questionnaire

ITEM 1: General Nominee Information

Full Name:

Title:

Company:

Business Address:

Phone: Email:

WBENC Certification Number:

Date Certified:

Is company in good standing and current WBE of GWBC? ______YES _______NO

ITEM 2: References

Please list 3 references who can attest to nominee’s involvement in GWBC WBE business development. Reference 1

Name:

Company:

Email:

Reference 2

Name:

Company:

Email:

Reference 3

Name:

Company:

Email:

3 | P a g e

ITEM 3: Please answer each item below.1. Provide a clear and concise narrative on your role within your organization or business. (Please limit to less than 500 words ONLY)

4 | P a g e

2. Provide specific examples of how your business has innovatively impacted WBE growth and development, over a three (3) to five (5) year period. (Please limit to less than 500 words ONLY)

5 | P a g e

3. Describe your involvement and participation with GWBC as well as other women business organizations. Please provide an overview for your involvement with each organization. (Please limit to less than 500 words ONLY)

Completed application MUST be received by GWBC by 5 PM, Monday, October 19, 2015. (No extensions will be granted.) Please email your application and all additional materials if applicable to awards@gwbc.biz ONLY. Any questions about the application should also be directed to this email address.

Congratulations!

Thank You for Your Participation and Support of GWBC!

6 | P a g e