Business Award Nomination Form

We will be accepting nominations through November 29 at 4 p.m.

The Excelsior Springs Chamber of Commerce thanks you for your interest in nominating a business for a Chamber of Commerce Award. Please indicate the award for which you are nominating the company. You may submit forms for more than one category.

Your Contact Information

Small Business of the YearMedium Business of the YearBusiness of the Year

Your Name (required)

Your Address

Your City

Your Phone (required)

Your Email (required)

Business Nominee Descriptions

This section will be used to describe the business that you have nominated for an award. Tailor your responses to the questions listed below to include as much specific information as possible. This will greatly assist the judges when they review your nomination.

Business Name (required)

Business Address (required)

Business City (required)

Contact Name (required)

Contact Title

Contact Phone (required)

Years in Business

Number of Employees

Why have you chosen your nominee for recognition?
Describe the business/individual you have nominated, and the key reasons you have chosen to nominate this business. Please use as much space as necessary.

Your Description (required)

How has this business met the criteria for the award?
Please refer to the specific criteria of each award which can be found on this page at right.

Award Criteria (required)

Is there any additional information you feel should be added?

Additional Information