Anchin :: Application Form - Building the Future: The Fastest Growing MWBEs in Architecture, Engineering, and Construction

Application Form
Building the Future: The Fastest Growing MWBEs
in Architecture, Engineering, and Construction

To be considered for this award, entrants must complete the nomination form below. All submitted information will be subject to independent verification.

Company Name:		Name of Primary Contact:

Phone:		Title:

Fax:		Email (required):

Year Company Founded:		Website:

Number of Employees:		President/CEO:

Address:		City:

State:		Zip Code:

Award Criteria

Nominees will be judged on the information provided below. Responses to each question should be limited to 750 words or less. Judges will take into account all of these criteria when making their selection.

Type of Firm (select one):

		General Contractor/Construction Manager
		Subcontractor
		Supplier
		Architecture
		Engineering

MWBE Certifying Agency:

Annual Revenue:

	FY 2007:
	FY 2008:
	FY 2009:

List the number of new staff added since January 1, 2007. Also list any new executive leadership positions created since that date:

Describe any important partnerships or acquisitions:

List any significant changes or expansions to operations:

Describe any projects, clients, or contracts that are particularly unique or noteworthy that demonstrate the accelerated growth and increasing prominence of your firm, e.g., prestigious government contracts, high visibility projects, etc.

Please list any additional accomplishments or milestones that are relevant to this application:

To the best of my knowledge, all of the data and information contained on this application is accurate.

Name:		Title: