Economic Development Award Nomination Application - Burlington County Regional Chamber of Commerce

Economic Development Award Nomination Application

Nominee can be an individual, company or organization including local business associations such as Urban Enterprise Zones, Main Street organizations and Economic Development officials; demonstrates proactive involvement in promoting business/community growth or revitalization in Burlington County; demonstrates significant commitment in supporting the Burlington County business community.

Fields marked with an * are required.

Please verify that you have checked the “I'm not a robot” checkbox.

About the Nominee
Please fill out all necessary information regarding the nominee.

Who are you nominating? *

Individual or Company/Organization?

Individual

Company/Organization

Name of Nominee *

Name of individual or company/organization

Company/Organization

Name of Nominee's company

Email address *

Nominee's email address

Mailing Address *

Nominee's Mailing Address

Phone Number *

Nominee's Phone Number

Website *

Nominee's Website

About the Nominator
Please fill out all necessary information about yourself, the nominator.

Name *

Your Name

Company Name

Your company name

Phone Number *

A good number to reach you at

Email Address *

Your email address

Relationship to Nominee *

How do you know them?

Application
Please complete the application for the nominee to the best of your ability. Click 'Submit' when finished. You will receive a confirmation notice that your application has been submitted. Please note: You can fill out more than 1 application and nominate more than 1 individual/company.

How has the nominee promoted business growth, community growth or revitalization in the county? *

Please use specific examples of projects.

How has the nominee supported the business community in Burlington County? *

Your turn: Are there any other interesting details you'd like to share? (Optional)

Would you like the Nominee to be considered for any other award category?

Business Excellence Award

Community Enrichment Award

New Voice Award

Outstanding Main Street Business Award

Outstanding Woman Business Executive Award

Outstanding Young Professional Award

Personal Excellence Award

Public Voice Award

Voice of Business Award