Business Person of the Year Nominee

Fill out the form below to nominate an Individual, for the 2021 Awards of Excellence Gala - Business Person of the Year Award.

First Name*

Last Name*

Email Address*

Phone*

Name and contact information for Nominee*

Describe the nominee’s commitment to business success and to the success of the Brockville and district region.*

Give examples of the nominee’s efforts as a positive role model and mentor for businesses. *

Describe the business leadership and vision demonstrated by the nominee.*

How does the nominee positively impact and contribute to the Brockville and district communities?*

Describe the nominee’s successes in sustained financial growth and performance.*

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Nomination Submitted By

First Name*

Last Name*

Phone*

Email*

Additional information*

Is nominee a member of the Brockville & District Chamber of Commerce?

YesNo

Is nominee aware of the nomination?

Number of years nominee has been in business