Dane County Small Business Awards Application

Company Profile

Nominator Information

Name

First Last

Company Name

Email

Phone

Company Information

Is the company headquarters located in Dane County?

Yes
No

Company Name

Name of Top Executive

Top Executive's Title

Email

Number of Full-Time Employees

First Last

Number of Part-Time Employees

First Last

Year Company Founded

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Website

Tell Us About Your Company

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. If you are not comfortable sharing specific financial information, please share your company's growth in terms of year-over-year percentages.)

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.

Other Benefits

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

Community: 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.