Women in Business: Nomination Form

Women in Business Quarterly Spotlight Profile Recommendation

The Spotlight on Women in Business was created to shed light on the many successful local businesswomen whose work may go unnoticed in our community.  A panel of advisers selects women to be profiled each quarter.  Your submission will be included for consideration.

Name of Profile Candidate*:

Title*:

Business Name*:

Business Website:

Business Address:

City, St  Zip: 

Candidate E-mail:

Business Phone:    Business Fax:

Candidate Cell Phone:   Not for publication

Category (Please select one of the following):

Corporate Leader: Vice President or similar-level executive at the local office or headquarters of a public or private company.

Start-Up: Owns at least 51% of company and actively manages daily operations; business has been operating less than three years

More than $1 Million Revenue: Owns at least 51% of locally-based company and actively manages daily operations; business has annual revenue of more than $1 Million

Less than $1 Million Revenue: Owns at least 51% of locally-based company and actively manages daily operations; business has annual revenue of less than $1 Million

Company Statistics

Description of business:

Legal Structure of Business (Please select one):
Corporation          Sole Proprietorship          Partnership

Does this individual own at least 51% of the company?  Yes          No

Number of Employees:

Estimated Annual Gross Revenue:   If requested, profile candidates must provide proof of annual gross company revenue for its most recent fiscal year.

Date Established:

 Summary of Professional Achievements

Summary of Community Involvement

Recommended By*:   Not for publication

Work Phone*:      Cell Phone*:

E-mail address*:

 *Mandatory Fields