Starkey Entrepreneurial Woman Award Fax/Mail Application Form 2011
Please provide the following contact information:(
* required information)
*Name of Business Owner:
*Company Name:
Year Established:
*Business Address:
*City: (must be
Indiana Resident)
*Zip:
*Business Telephone:
Business Fax:
E-mail:
Website:
*Type of business/service
The Essay
(Please limit your submission to two typewritten pages (total) or less. Acceptable File Formats are .doc, docx, .pdf)
Part 1
Tell us about yourself and your business. We want to hear about the inspiration
or the motivation that led to the creation of your company. How did the dream become a
reality?
Part 2
Describe your greatest challenge(s) as a business owner and the specific solution
you created to meet the challenge(s).
Part3
Share your thoughts and advice on what it takes to be an entrepreneur. Did you
have a mentor or role model when you began your business?
Please keep your Nominations to no more than 2 pages in length.
Each Nominee may also submit as many as two letters of recommendation, each of which must be no longer than one page in length.
Please send your letter of recommendation by Mail or Fax to :
Harrison & Moberlly, LLP
11611 North Meridian Street, Suit 150
Carmel, Indiana 46032
Phone : 317-639-4511
Fax : 317-574-6055
