Nomination Form Please submit
your nomination by September 17, 2003
Award
Category
Angel of the Year
Nominated
By
Individual's name:
Title:
Company:
Address:
Phone:
Fax:
Nominee
Information
Nominee's Name:
Title:
Company:
ME Address:
City:
Zip:
Telephone:
Fax:
Email:
Notable
Accomplishments:
Please provide information on the individual's
accomplishments. Describe how this person has contributed to the economic development of Maine’s technology community by attracting new capital, investing in or loaning capital to local technology companies.
Please address each of the following points and limit response to 300 words for each bullet.
Describe the individual's role in advancement of a technology or breakthrough company
Describe any challenges or issues overcome or resolved creatively
Describe success or impact in securing capital for Maine technology company(s)
Please state in 25 - 50 words why this Individual should be the Angel of the Year. This statement may be: used as the description for the finalists within this category, posted on the MESDA site, read at the Awards Celebration and submitted in press releases.
References
List contact information for individuals who may be listed as references in this nomination submission. These references may or may not be contacted by the Judges.
Name:
Title:
Company:
Phone:
Name:
Title:
Company:
Phone:
Name:
Title:
Company:
Phone:
DEADLINE FOR SUBMISSIONS IS WEDNESDAY, September 17, 2003.
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