Nomination Form (please use linked Word Document)

Entrepreneur(s) Nominated:
First Name:
Last Name:
Address:
Phone Number:
Business Name:
Type of Business:
Business Address:
Phone Number:    Fax Number:
Email Address:
Website Address:
Number of years in business:
 
Category/Catagories: Youth (18 – 30),  Business Woman,   Business Man)
 
 In 100 words or less please provide a description of:

1. What goals have been achieved over the last year?
2. Has the business created an awareness of the Aboriginal community to the general public? If so, how?
3. Have you hired any Aboriginal people to work for you?
4. Have partnerships been formed with other businesses? If so, with whom? 
5. Why do you want the entrepreneur to be recognized for this award?
 
Name of Nominator:                                                       
Signature:                     Date:
Phone Number: