Criteria
Deadline: Early Bird – Submit application by July 31 st and become eligible to win roundtrip Southwest Airlines tickets.
Business Owner 1:
Business Owner 2:
Company Information:
For Administrative Purposes Only. It will never be published:
Check here if you prefer correspondence to be mailed to your home. Otherwise, mail will be sent to your office.
Business Information:
Select Industry Sector*Aerospace & DefenseAdvertising & MarketingAgricultureAutomotive & TransportBankingBeveragesBusiness ServicesChemicalsComputer HardwareComputer ServicesComputer SoftwareConsultingConstructionConstruction & DesignConstruction MaterialsConsumer ProductsConsumer ServicesEducationElectronicsEngineeringFoodFinancial ServicesHealth CareIndustrial ManufacturingInformation TechnologyInformation/Records MgmtInsuranceLegal ServicesLeisureMediaMetals & MiningParking Facility MgmtPharmaceuticalsReal EstateRetailSecurityStaffingTelecom EquipmentTelecom ServicesTransportation ServicesTrainingOther
Headquarters Location: (if different from above address)
Business Certification: (select all that apply. PC crtl+click or Mac command+click)
NMSDC MBE CertifiedMDOT CertifiedWoman Business Enterprise (WBE) CertifiedSBA 8(A) FirmDisabled-Owned BusinessService-Disabled Veteran Owned BusinessLGBTQ FirmSmall Business CertificationOther (please indicate)
***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, 2018. 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
[text* client-business placeholder "Client Business Name*]
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.
Number of employees excluding yourself*none1-910-1920-2930-3940-4950-99100 or more
2015-2017 average annual revenue:*less than $100,000$100,000-$499,999$500,000-$999,999$1 million-$4.9 million$5 million-$9.9 million$10 million-$50 million$50 million or more
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.
Date:
To ensure the correct pronunciation of your name, please provide the phonetic spelling for the announcer:
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, 2018. All incomplete applications will be removed from the final judging process. Winners will be notified no later than August 22, 2018.
