IMPACT 10 AWARD NOMINATION FORM

This award recognizes influential individuals shaping business and community in 2023. The people on this year’s list are creating and seizing opportunity. They’re empowering others. They’re connecting people. They’re trailblazing in their industries!

Criteria
• At least one full year of employment with that company, beginning in March 2022.
• Individuals must demonstrate achievement and innovation, workplace excellence, and community and social responsibility.
• Business must be a Garner Chamber of Commerce member.

Winners will be notified by July 31st, 2023 and recognized at an award ceremony at the Garner Chamber 2023 Impact Conference on August 24th, 2023. In addition, the ten winners will be featured in the 2023 Impact10 awards booklet including a photo session and a free ticket to the event!

Nominated by *

Cell Phone: *

Cell phone for person making nomination (in case we have any questions about nomination)

Nominee Name *

Nominee Title *

Nominee Email Address *

For award notification purposes

Nominee Company/Organization *

Company Address *

Address, City, State, Zip

(30 points) Describe the nominees innovations and examples of workplace excellence. (250 words or less) *

250 words or less

(30 points) Does the nominee support business collaborations to promote Garner area businesses and to they have relationships with other community partners or business associations? Give examples of their commitment to the community and social responsibility. (250 words or less) *

250 words or less

(40 points) Tell us one story or give an example that you think embodies what makes the nominee special or unique. It could be a customer story, employee story, volunteer story or other. *

250 words or less

IMPACT 10 AWARD NOMINATION FORM

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