Corporation Award 2024 Nominee Confirmation Form

BUSINESS INFORMATION

Name of Business*

Date Established*

Primary Business Activity*

Which county does the business operate in?*

Phone*

Email*

Minority-Owned Business

Must be a small business located in Kansas

A Minority-Owned Business is a business that is at least 51% owned and controlled by a member of one of the following groups: Black, Hispanic, Asian/Pacific Islander, Native American, Subcontinent Asian or Asian Indian

Must be in business for at least one year

Young Entrepreneur

Must be under the age of 30

Must be in business for at least six months

Must be a Kansas business

Must be a minority or a woman

Woman-Owned Business

Must be a small business located in Kansas

A Woman-Owned Business is a business that is at least 51 percent owned and controlled by a woman

Must be in business for at least one year

Tourism Information

Provide information on the company's minority and/or women business procurement or contracting program.*

Provide a list (over the last two years) of the nominee's purchasing or contracting history with minority and/or women businesses.*

What is the impact the organization has had on its community?*

What future goals does the owner have for the organization?*

List trade organizations and community involvement of the organization and its owner(s).*

List relevant awards received by the organization and/or owner(s).*

Attach any additional information that you believe to be pertinent to the selection process (i.e. written articles, awards received.)*

Advocate Information

1) Describe your professional and/or business background.*

2) Describe how you or your company has worked on behalf of minority- or women-owned business.*

3) Describe the impact your individual efforts have had on the community.*

4) Provide any additional information you believe to be pertinent in the selection processes (i.e. articles written, awards received.)*

Corporation of the Year

Corporations eligible for this award must be using a diversity supplier/contracting system or similar program.

1) Provide background information on the corporation.*

2) Provide information on the company's minority and/or women business procurement or contracting program.*

4) List organizations to which the company belongs that may have an impact on minority and/or women business development.*

5) Provide any additional information that may demonstrate the corporation's outstanding contributions in support of minority and/or minority/or women business development.*

A) Provide background information about the business and owner(s).

Describe how the owner started the business. What inspired the owner to open the business and what steps were taken to establish the business, i.e. classes, research, experience? Were there any obstacles that had to be overcome?*

Describe the owner's initial investment to acquire the business.

What is the impact your business has had on your community?

B) Describe the current financial condition of the business by providing the following information.

What is the average gross receipts for the company over the last three years? (information used for rating purposes only and will not be shared with the public.)

Please select the amount that closely reflects the total average gross receipts.

What was your yearly percentage of profit to revenues?

For Fiscal Year 2023

What was your yearly percentage of profit to revenues?

For Fiscal Year 2022

What was your yearly percentage of profit to revenues?

For Fiscal Year 2021

Provide employment (job creation) history of the business for the past three years. For example, how many employees were needed to open the business? How many are currently employed by the business? Full-time, part-time?

Describe the impact of the business' job creation on the community.

What future goals does the owner have for the business?

C) List trade organizations and community involvement of the business and its owner(s).

D) List relevant awards received by the business and/or business owner(s).

E) Attach any additional information that you believe to be pertinent to the selection process (i.e. written articles, awards received.)

Young Entrepreneur Nomination Confirmation

Describe how and when the entrepreneur started the business.

What inspired the entrepreneur to open the business?

What steps were taken to establish the business, i.e. classes, research, experience?

Discuss any major obstacles that have been overcome by the young entrepreneur.

What future goals does the entrepreneur have for the business?

B) Present a description of the current financial condition of the business.

How much revenue has the business generated in the past year?

How many employees does the business currently have?

Who is the target market for the services or products provided by this business?

Describe the impact the business has had on the community, schoolmates and the young entrepreneur.

Please provide any additional information you believe to be pertinent in selecting this person for the Young Entrepreneur Award (i.e. articles, written, awards received)

Additional Files

Attach Photos of Owner, Business, or Products

Drop files here or

Max. file size: 50 MB.

Attach Logo (Jpeg, png, pdf)

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Max. file size: 50 MB.

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