Nominee’s Name:

Name of Business:

Title/Position:

Business Address:

Home Address:

Telephone: (Business) (Fax) (Home)

E-mail address: NAICS Code:

Sponsor’s Name:

Title:

Business/Organization:

Address:

Telephone: (Fax) E-mail:

Give a brief one-paragraph description of the nominee’s business:

Give a concise statement clearly describing why the nominated individual should be recognized with this SBA Small Business Award:

Nominees need not be a woman business owner to be nominated as the award honors assistance and advocacy efforts on behalf of women business owners and entrepreneurs.

Date and Type of SBA Assistance:

(Please note: SBA Assistance is not required for a nominee to be eligible for this SBA Award Category.)

2016 SBA Small Business Awards – Guam Branch Office Women in Business Champion Page 2 of 4

I. Active support for legislative or regulatory action designed to help small businesses.

II. Efforts to increase business and financial opportunities for women.

III. Legal, financial or managerial assistance provided to enhance women’s business ownership.

IV. Volunteer efforts to strengthen the role of women business owners within the community.

V. Advocacy of the women-owned business community as a whole, not solely for individual personal advancement.

VI. Other accomplishments demonstrating effectiveness in improving the environment for the creation and expansion of businesses owned and operated by women.

Additional Information

The prestigious Small Business Awards honor the outstanding small business men and women who demonstrate excellence and achievement. All nominees and nominees’ businesses must comply with state and federal regulations regarding labor, immigration, civil rights, taxation, and other applicable regulations. Any financial information provided as required for the nomination will be held in strict confidence by the selection committee and SBA. By submitting the completed nomination form, the nominee certifies that, to the best of his/her knowledge, the information provided is correct and the business has complied with regulations, as stated above.

Please note that SBA will accept only one nomination per person or business entity within an award category. If a duplicate nomination is received, the nomination submitted to GBO at the earliest time will be considered for the award. Individuals and businesses may only be nominated in one award category each year. SBA winners who were honored in this award category prior to the 2011 awards (more than five years ago) may be nominated if they continue to meet all criteria for eligibility for the award.

A Women in Business Champion of the Year will be selected from qualified candidates. . At least two headshot/portrait-type colored photo images of the winner, their business operation, and at least one photo with/of their nominator will be required for publicity and the Awards presentation. The photos may be in hard copy or digital format. These items will be due in the Branch Office in early February 2016.

2016 SBA Small Business Awards – Guam Branch Office Women in Business Champion Page 2 of 4