2023 Sharing Success Awards - ChicagoMSDC Supplier of the Year

SUPPLIER OF THE YEAR

NOMINATION FORM
NOMINATOR INFORMATION

TO BE COMPLETED BY A CORPORATION
NAME*

First NameLast Name
TITLE*
COMPANY*
COMPANY ADDRESS*

Street Address

Street Address Line 2

CityState

Zip Code
COMPANY NUMBER*
Please enter a valid phone number.
EMAIL*
example@example.com
Please upload a recommendation letter below:*

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PLEASE ENTER YOUR NOMINEE FOR SUPPLIER OF THE YEAR BELOW:
Nominee Name*

First NameLast Name
Nominee Company*
Nominee Email Address*
PLEASE CLICK "SUBMIT" BELOW. AN EMAIL WILL BE SENT TO YOUR NOMINEE TO COMPLETE THE NOMINATION PROCESS.
CLICK NEXT TO CONTINUE

List major customers and products supplied to the public/private sector:*

Please attached any recommendation letters below:

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Identify any outstanding business performance in the areas of quality of products/ services, delivery, competitiveness and servicing:*
What innovative approaches, cost-saving ideas or unique specified services has nominee provided to their customers?*
What obstacles and adversities has nominee overcome? (please explain process of overcoming these obstacles and adversities and its impact on nominee’s business growth.)*
Describe any other examples that demonstrate nominee’s business performance and why nominee should be considered:*
If you wish to continue your nomination application later, please click the SUBMIT button below. This will save your responses. To continue your nomination application at a later time, click on the link in the email you received. To continue, please click NEXT.
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Total Spent with MBEs:*

	2020	2021	2022	2023 (Projected)
AMOUNT

Total Procurement Spend:*

	2020	2021	2022	2023 (Projected)
AMOUNT

Describe initiatives and/or special assistance nominee has provided to other MBEs over the past two-three years:*
If you wish to continue your nomination application later, please click the SUBMIT button below. This will save your responses. To continue your nomination application at a later time, click on the link in the email you received. To continue, please click NEXT.
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SECTION 6: COMMUNITY INVOLVEMENT

(Up to 10 Points)
Describe the ways in which the nominee has used his/her entrepreneurial skills and creativity to help improve the quality of life and overcome obstacles in his/her community:*
Describe the strategy implemented, resources committed (financial and human) and the benefits derived:*
If the nominee has any references on their major community accomplishments for the past 3 years, please upload them below:

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If you wish to continue your nomination application later, please click the SUBMIT button below. This will save your responses. To continue your nomination application at a later time, click on the link in the email you received. To continue, please click NEXT.
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SECTION 7: REGIONAL COUNCIL INVOLVEMENT

Up to 10 Points
Describe the ways in which the nominee has actively participated in the Regional Council and contributed to its mission, objectives and goals:*
Describe the resources committed (financial and human) and the benefits derived:*
If you have any references on your major Regional Council accomplishments for the past 3 years, please upload them below:

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If you wish to continue your nomination application later, please click the SUBMIT button below. This will save your responses. To continue your nomination application at a later time, click on the link in the email you received. To continue, please click NEXT.
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SECTION 8: TRUTH OF INFORMATION/RELEASE

THE INFORMATION PROVIDED IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF. I AGREE THAT IF I AM SELECTED AS A REGIONAL AND NATIONAL AWARD RECIPIENT, I HEREBY AUTHORIZE THE RELEASE AND USE, IN CONNECTION WITH THE NMSDC SUPPLIER OF THE YEAR PROGRAM OF MY NAME, COMPANY NAME, LIKENESS, RECORDING OF MY VOICE AND PHOTOGRAPHS, INCLUDING VIDEO TAPES OR OTHER FORMS OF MEDIA, WHICH MAY BE TAKEN OF ME, AND AGREE THAT NO COMPENSATION SHALL BE DUE ME OR MY COMPANY FOR SUCH USAGE. HOWEVER, ALL FINANCIAL INFORMATION SHALL REMAIN CONFIDENTIAL UNLESS I AGREE TO ITS RELEASE.
Please upload your current ChicagoMSDC Certification Certificate below:*

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REGIONAL COUNCIL NAME*
REGIONAL COUNCIL CONTACT*
NOMINEE SIGNATURE*

Clear
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Should be Empty:

SUPPLIER OF THE YEAR