Innovation / Research & Development

In recognition of a company that demonstrates innovations in products, processes and/or practices, product research and prototype development, as well as community involvement. Please note: Previous recipients must demonstrate substantial progress.

INSTRUCTIONS:

Third-Party Nomination: Please complete Part 1. We will then forward your nomination to the nominated company for completion.

Self-Nomination: Please complete Parts 1 and 2 in full.

**Please Note: Maximum of 2 nominations (2 categories) per business. Businesses nominated in multiple categories MUST only select 2 categories to put forth for submission.

Please complete the online form below or Download the Nomination Form and return the completed nomination package to the Greater Peterborough Chamber of Commerce at , fax to 705-743-2331, or hard copies (5 sets) can be delivered to . No CDs/DVDs, no samples.

Nominated Company *

Contact Name *

Contact Name

First Name

Last Name

Phone

(###)

###

####

Email Address (if available)

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Website

http://

Your Contact Information

Your Name (required) *

Your Name (required)

First Name

Last Name

Your Phone Number (required) *

Your Phone Number (required)

(###)

###

####

Your Email Address

Part 1 - Please Complete

100 Word Description (required) *

In approx 100 words, please describe why you feel this company should be nominated based on the above criteria:

Part 2

(not required if a third-party nomination)

Please Read carefully

PLEASE COMPLETE part 2 of the nomination form for you/your company; the following information is required, as JUDGING WILL BE BASED ONLY ON THE INFORMATION PROVIDED. Judges will assign a score (0-3) for each section. The more thorough, comprehensive and/or informative the application, the higher the potential points score.

Describe Company Operations and Customers (i.e. What does your/this company do?) (max. 200 words):

Innovations in Products (max. 200 words):

Innovations in Processes and/or Practices (max. 200 words):

Product Research (max. 200 words):

Prototype Development (max. 150 words):

Community Involvement (max. 200 words):

Nomination Deadline: Wednesday, May 25th, 2016 by 4:30pm

PLEASE NOTE: The nominee will be judged on the information contained within this nomination. The Chamber staff will not request additional information to support the nomination, but do reserve the right to contact the nominee to verify facts. Finalists will be announced in The Peterborough Examiner on Thursday, August 11th. Only the 3 finalists chosen for each category will be notified by the Chamber prior to this date (with the exception of the 4-Under-40 profiles and the Business Citizen of the Year who will be announced at the Awards Ceremony).

Innovation / Research & Development

SPONSORED BY GREATER PETERBOROUGH INNOVATION CLUSTER

INSTRUCTIONS:

SPONSORED BY