BPOY Nomination Form 2020

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    NOMINEE AND BUSINESS INFORMATION

    Eligible business leaders include those who may be, but are not required to be, business owners, and who have been with their company for at least three full fiscal years. Only single applicants (rather than teams or co-owners) will be considered for this honor.
    Use this format: ###-###-####
    Use this format: ###-###-####
    Full time equivalents (FTEs) excluding contractors

    AUTHORIZATION REQUEST

    In the event that the Nominee becomes a finalist for the Award, the SBC/Rochester Chamber Selection Committee will contact the Nominee’s accountant, and may contact the Nominee’s attorney, to verify the data and information submitted in the Application.

    ATTORNEY INFORMATION

    In the event that the Nominee becomes a finalist for the Award, the SBC/Rochester Chamber Selection Committee may contact the Nominee’s attorney to verify the data and information submitted in the Nomination Form.
    Use this format: ###-###-####

    ACCOUNTANT INFORMATION

    In the event that the Nominee becomes a finalist for the Award, the SBC/Rochester Chamber Selection Committee will contact the Nominee’s accountant to verify the data and information submitted in the Nomination Form.
    Use this format: ###-###-####

    NOMINEE AUTHORIZATION

    By electronically signing below, the Nominee authorizes the members of the Selection Committee to contact the accountant and attorney listed above for the sole purpose of verifying the information submitted in the application.

    mm/dd/yyyy

    SUPPORTING INFORMATION

    Leadership: How do you define leadership, and how do you perceive your role as a leader? (500 word max)

    Max 500 words

    Leadership: How are you positioning your company to excel in its market amidst the Novel Coronavirus (COVID-19) pandemic, how do you think your Company has fared during the pandemic, and what are your expectations for the future? (500 word max)

    Max 500 words

    Leadership: What would you like your legacy to be with your company? (500 word max)

    Max 500 words

    Leadership: Describe what values you promote within your organization, and example(s) of how these values were used in decision(s) you have made over the past year? (500 word max)

    Max 500 words

    Achievements: Please list up to 5 of your company's proudest achievements and describe your contribution to these achievements. (For example, business and industry awards, customer and employee satisfaction, etc.) (500 word max)

    Max 500 words

    Company Performance: What measures do you feel are important to show the performance of your company over the last 3 years, what are they, why are they important, and what was your contribution to them? (500 word max)

    COMPANY PERFORMANCE DETAILS

    Please indicate below, for each of the last 3 years, the rate of revenue change year over year, employee headcount in the U.S. (FTEs), and any other specific metrics that you want to share, for example market share, customer satisfaction, employee retention, customer growth, etc.

    2018 DETAILS

    Full time equivalents (FTEs) excluding contractors
    Any other specific metrics that you want to share, for example market share, customer satisfaction, employee retention, customer growth, etc.

    2019 DETAILS

    Full time equivalents (FTEs) excluding contractors
    Any other specific metrics that you want to share, for example market share, customer satisfaction, employee retention, customer growth, etc.

    2020 DETAILS

    Full year financials may not be available. Please submit if possible. Interim financials and 3Q are acceptable. Please label accordingly.
    Full time equivalents (FTEs) excluding contractors
    Any other specific metrics that you want to share, for example market share, customer satisfaction, employee retention, customer growth, etc.

    ADDITIONAL INFORMATION

    What have you not shared above that you feel is important for us to know? Please describe your involvement. For example, charitable causes, volunteering, support of education, mentoring, company's community efforts, military service, influential life experiences, etc.

    REFERENCE LETTERS

    Feel free to include up to three letters of reference. Appropriate reference sources could include (but aren’t limited to) professional advisors, employees, vendors, customers, and/or peers. Allowed file types: PDF, DOC, TXT)