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Dane County Small Business Awards Application

Deadline: March 29, 2018


To apply for this award your company must be:

  • Headquartered in Dane County
  • A successful for-profit organization
  • Employers to a minimum of three (3) full-time-equivalent employees, and no more than 50 full-time equivalent employees. 
  • Providers of a responsible and rewarding workplace environment
  • Supporters (in-kind or financial) to local nonprofit or community organizations

Please note that all fields are mandatory. If you have any questions, please email events@ibmadison.com.

Company Profile

Nominator Information

Contact Name

Relationship to Company Being Nominated

Company Name

Email Address

Phone Number

Company Information

Is the company headquarters located in Dane County?
Company Name

Name of Top Executive

Top Executive's Title

Email Address

Number of Full-Time Employees

Number of Part-Time Employees

Year Company Founded


City, State, ZIP

Phone Number



Tell Us About Your Company

Please check all that apply:
 Woman-Owned (at least 51% ownership and active management in the business)
 Minority-Owned (at least 51% ownership and active management in the business)
 Veteran-Owned (at least 51% ownership and active management in the business)
 None of the Above

Describe your business, your mission and business functions.

Describe your Company's growth in revenues, profits and employees since the firm’s inception. (Please be as specific as possible)

Provide details on any milestones, accomplishments, awards or other honors that your company has received over the years.

Company Benefits

What benefits does your company provide? Please check all that apply. 
 Health Insurance
 Paid Vacation
 Sick Leave
 Dental Insurance
Retirement / 401(k)
Professional Development Opportunities
Paid Time Off for Philanthropic Opportunities
Wellness/Fitness Club Program
Flexible Work Hours
Profit Sharing or Stock Options
Diversity & Inclusion Programs
Other (Please describe below.)

Describe in details how your company’s benefit package goes above and beyond what other small businesses are offering their employees. 

Community Involvement

Describe your company’s contribution and impact to the Dane County community. Provide specific details on volunteer activities, donations or other in-kind activities that your company has been involved in.

Optional Supporting Documents

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You may upload an attachment with your submission. We accept the following file types:


The 2018 Dane County Small Business Awards are presented by:

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