2019 Top 100 MBE Application

Business Owner 1:

Business Owner 2:

Company Information:

Are you NMSDC MBE Certified?

Are you a client of our MBDA or FPC Centers?

Business Information:

Headquarters Location: (if different from above address)

Business Certification: (select all that apply. PC crtl+click or Mac command+click)

***The following two sections are critically reviewed by our judges in determining the winners:***

Business Description(required):

Business Success and Leadership (required):

Customer Relationships:

A client reference letter is required as a part of the judging process. Please submit only one (1) letter. Your letter must be received no later than August 15, 2019. There are two ways to submit your letter:(1) Electronically have your client submit a signed letter to applicant@top100mbe.com- please have your client place your name in the subject line OR (2) Submit via regular mail to:

Sharon Pinder , CRMSDC
Top 100 MBE Awards
Suite 200
10750 Columbia Pike
Silver Spring, MD 20901

Research Data:

The following information will never be published. It is supporting data to help the judges ascertain the scope of your business and to be used for special recognition of awards. We also use the data as a collective source for our internal research purposes.

Business Formation:*Limited Liability CompanyCorporationNon-ProfitPartnershipSole Proprietor/Individual

Required:
Affidavit: I declare to the best of knowledge and belief, the information is true, correct and complete. I understand that any falsification will result in disqualification of this submission and nullification of the award now and in the future. I further declare that I am engaged in my business as a full time business owner.

To ensure the correct pronunciation of your name, please provide the phonetic spelling for the announcer:
Example:
First name: Share ron
Last Name: Robe ber son

Previous Winner Category:

Are you a previous Top 100 MBE Winner?

Are you a previous Supplier of the Year Nominee?

Are you a previous Supplier of the Year Winner?

Please include a recent head and shoulder photograph with your application. The minimum size of your photo is 4x6 and resolution should be 300 dpi. Send your photo to applicant@top100mbe.com. Please place Photo and your name in the subject line.

Applications must be received no later than July 31, 2019.
All incomplete applications will be removed from the final judging process.
Winners will be notified no later than August 16, 2019.