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Jackie Spence
180 S Soangetaha Rd, Ste 108
Galesburg, IL 61401-5595
Phone: 309-342-5108
FAX: 309-342-1768

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Small Business Eagle Award Nominations

Please use this nomination form for the 2018 Small Business Day Eagle Awards. These five steps are required to nominate a business or individual in Knox, Warren, Mercer, Henry or Henderson counties for their entrepreneurial achievement. After completing the form, mail it back to: University of Illinois Extension, 180 S. Soangetaha Rd., Suite 108, Galesburg, IL 61401. Winners will be announced at the Small Business Day Luncheon on Tuesday, May 15, 2018 at Lake Storey Pavilion in Galesburg, Illinois. If you have any questions or are having difficulty using this form, contact Carrie McKillip at 309-342- 5108. ALL NOMINATIONS MUST BE RECEIVED BY APRIL 2, 2018. Note: You may choose to nominate a business/individual for more than one category. In that case, you need only to select the categories (complete the form once). If nominating multiple businesses/individuals, you will need to complete this entire form again, for each of them. ESN may choose not to accept any nomination that is not completed or nominations that lack the contact information of the nominee.

Your information:
* First Name
* Last Name
* Title & Company
* Work Phone
* Street
* City
* State
* Zip Code
* Email

*Award Categories. *Please check 1 or more categories

RECOGNITION CATEGORY: Business Anniversaries

Who are you nominating? Enter the information about the person you are nominating.
* Name
* Title
* Company
* Business Phone
* Business Website
* Business Address
* Email

*ADD NARRATIVE ABOUT THE NOMINEE*. (Please describe in a short narrative paragraph, why this individual/business should be considered for an award, by including: Origin of business /Leadership in industry /Growth of company: in jobs, sales, distinction of business or individual. * (Without a narrative included, your nominated business or individual will not be considered.)

*Indicates questions that require an answer.