Employee-Owned Company/Small Business (2

Best of Reston 2015 Employee-Owned Company/Small Business (2–100 employees)* Nomination Form

Please fill out this form to nominate for an award.
A small for-profit business that harnesses its business acumen and company resources to positively impact the greater Reston/Dulles community and demonstrates a sustained commitment to giving back.

*Membership in the Greater Reston Chamber of Commerce is preferred.

2015 BOR Sponsorship Levels will count towards GRCC Membership for new chamber members only.

Your Information
Your Name*

PrefixFirst NameLast NameSuffix
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Your Phone Number*

Area CodePhone Number
Your Fax Number

Area CodeFax Number
Your E-mail Address*
1. What is the ethos or philosophy of the owner or company that supports community engagement? How does the nominee harness its business success as a responsible corporate citizen to benefit the community?*
Explain why your nominee deserves the selected award. 500 words or less.
2. What has the nominee contributed to the enrichment of the greater Reston/Dulles community through commitments of time, talent and resources (examples: civic leadership, volunteerism, philanthropy)? Describe the service efforts.*
Explain why your nominee deserves the selected award. 500 words or less.
3. How does the nominee engage or incentivize its employees in ongoing efforts to support the community through volunteerism and giving? How does the company inspire other small businesses within our community?*
Explain why your nominee deserves the selected award. 500 words or less.
4. What is the impact of the service effort(s) for the greater Reston/Dulles community?*
Explain why your nominee deserves the selected award. 500 words or less.
Letter of Support 1

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Letter of Support 2

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Letter of Support 3

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Best of Reston 2015 Employee-Owned Company/Small Business (2–100 employees)* Nomination Form