Name of Person Completing This Form
Name of Company Being Nominated
Name and Phone # of Contact Person at Nominated Company
If nominating your own company, please submit documentation related to the three areas listed below. If nominating another company, please indicate anything you know about the nominated company related to the following areas.
Quality Programs: Document the steps taken to establish a comprehensive quality program. The applicant will give specific examples of the programs in place, certifications already granted and how the programs have improved their business.
Pollution/Hazardous Waste Control: Specify the steps taken to minimize the effects of possible pollution or hazardous waste, whether through the purchase of equipment or through internal programs. Specific list of steps taken should be submitted.
Community Involvement/Leadership: Outline the efforts taken to contribute to the surrounding community. The contribution can be in terms of volunteer efforts, educational efforts or financial efforts.