Minority and Woman Business Advocate of the Year Nomination Form

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Kansas Minority Enterprise Development
(MED) Week 2021

Minority and Woman Business Advocate of the Year Nomination Form

Nomination Deadline: July 9, 2021

Advocate of the Year – Provides support to minority or women entrepreneurs in Kansas. Support may be demonstrated by activities and/or undertakings accomplished in advising and advancing business interests for the owners.

YOUR INFORMATION (Nominator)
Nominator Name*
Nominator Company*
Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Email*
NOMINATED ADVOCATE'S INFORMATION (Nominee)
Name of Advocate*
Name of Business*
Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Email*
Which Category are you nominating the Individual/Business for?*
1. Describe how your nominee supports minority- or women-owned businesses.*
2. Please provide any other information you feel would help the committee in their selection process.
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Kansas Minority Enterprise Development(MED) Week 2021

Minority and Woman Business Advocate of the Year Nomination Form

YOUR INFORMATION (Nominator)

NOMINATED ADVOCATE'S INFORMATION (Nominee)

Kansas Minority Enterprise Development
(MED) Week 2021