<p> NOMINATION FORM The Spirit of Entrepreneurship Dinner Wednesday, November 8, 2017 – The Junior League</p><p>ENTREPRENEUR OF THE YEAR</p><p>The Asian Chamber of Commerce will recognize entrepreneurs and leaders in the community at its Spirit of Entrepreneurship dinner on Wednesday, November 8, 2017. The mission of the Chamber is to promote economic development in the Houston Asian American community and facilitate commerce and trade between Houston and countries of Asia. </p><p>Now you have the opportunity to nominate individuals who will be recognized at the annual awards dinner. This event celebrates the success of entrepreneurs and leaders in the community who are making a difference. </p><p>Eligibility: -Asian major shareholder/partner -In business for a minimum of three years -Located in the greater Houston area or surrounding cities -Achieved growth or consistency over three years -The company has faced challenges and opportunities with their businesses and positively impacted the communities and industries they serve. </p><p>Judging Criteria: -Assessment of financial success over last three years -Strategic direction -Company leadership (personal integrity and risk taking) -Community involvement -Number of employees and total sales (must be verifiable) </p><p>Nominee’s Name ______</p><p>Company Name ______</p><p>Title ______</p><p>Address ______</p><p>City ______State ______Zip ______</p><p>Company website______</p><p>Nominee’s email ______Nominee’s Phone ______Years nominee has been with company: ______Years in this position ______</p><p>Assistant’s name ______Phone ______</p><p>*Primary contact for nominee ______</p><p>Phone ______Email ______</p><p>Submitted by ______Email______Phone______</p><p>Please answer the following questions. </p><p>1. General Information Provide a brief description of the nominee’s company business (approximately 150 words). </p><p>In what year was the company founded? ______</p><p>Is the company publicly held?  Yes  No If yes, what year did the company go public? ______</p><p>Please indicate the nominee’s stock ticker symbol, if appropriate______</p><p>Has the nominee or nominee’s company been the subject of any investigation by a governmental body or a civil or criminal complaint? _____ Yes _____ No</p><p>If Yes, please attach a statement describing the investigation and/or complaint and the current status.</p><p>2. Financial data Has the company merged with another company within the past three years?  Yes  No If yes, what year? ______If yes, what percentage of the growth reflected in the financial data below is attributable to the merger? ______%</p><p>NOTE: All financial information is considered confidential. Finalists may be asked to verify the accuracy of such information. An independent third party accounting firm will review financial information. </p><p>Most recent year end 2nd most recent year end 3rd most recent year end</p><p>Fiscal Year End ____/_____/______/_____/______/_____/______</p><p>Total Employees______</p><p>Annual Revenue ______</p><p>Annual Expenses ______Total Assets ______3. About the Nominee (approximately 200 words)</p><p>Discuss the nominee’s high standards, the nominee’s determination, how the nominee demonstrates perseverance in the face of adversity and overcomes obstacles and the extent to which the nominee is an independent thinker and is willing to take risks in the face of uncertainty.</p><p>Type of business and current activity (approximately 200 words) -History of the company, include source for the idea of the business strategy and evolution of the business -If the nominee is the founder, explain the difficulty of launching and building the business and personal and financial risk involved -If the nominee is not the founder, describe the challenges involved in assuming the entrepreneurial role including risk taking, financial investment or other personal sacrifice. -Discuss any obstacles overcome within the industry.</p><p>Innovative approaches and future plans (approximately 200 words) -What is the nominee’s vision or plan for the future growth of the business? -Highlight any competitive points of differentiation.</p><p>Company culture (approximately 200 words) -What is the nominee’s contribution to philanthropic organizations? -How does the nominee give back to the community? -How have these initiatives changed the company culture and helped to empower and retain employees? </p><p>4. References (please list at least one) Please list individual(s) who have assisted the nominee in his or her entrepreneurial effort and who may serve as references.</p><p>Name/Title/Company ______</p><p>Phone ______Email______</p><p>Name/Title/Company ______</p><p>Phone ______Email______</p><p>Nominator Name/Title/Company ______</p><p>Phone ______Email______</p><p>Nominee’s Signature ______Date______</p><p>(Nominee’s signature is required for application to be considered) Current members of the Asian Chamber of Commerce Board of Directors and Planning Committee are excluded from being nominated. Previous award recipients may be nominated again after a minimum of five years has elapsed since being honored. Judges cannot propose nominees. </p><p>Please submit information to:</p><p>Asian Chamber of Commerce 713-782-7222 Fax: 281-823-7712 410 Pierce Street, Suite 325 [email protected] Houston TX 77002 www.asianchamber-hou.org Attn: Nominations Awards Dinner</p><p>Deadline:</p><p>-All nominations must be received by Monday, October 2, 2017.</p>