The National Veteran-Owned Business Association (NaVOBA) is proud to launch the survey to find the 2017 Vetrepreneur® of the Year (VOY), a prestigious honor bestowed annually to one of the nation’s 3 million veteran business owners. To be eligible to receive the award, the nominee must be a U.S. military veteran business owner who actively runs the company. Vetrepreneur of the Year® candidates are strongly encouraged to nominate themselves or another veteran-owned business for the award. The Vetrepreneur of the Year® demonstrates the finest attributes crucial in leading a flourishing business; sustained business growth and success; and an extensive aspiration to cultivate veteran entrepreneurship. There is no cost or obligation to apply. To become a member of NaVOBA, please visit our membership page at www.buyveteran.com/join.

Nominee Information

First Name

Last Name

Title

Company Name

Company Address

Company Website

Email Address

Phone Number

10.

Primary Contact for Nominee Name

11.

Primary Contact Title and Company

12.

Primary Contact Email

13.

Primary Contact Phone Number

Military Service

14. Please list the nominee's military service: (E.G. U.S. Army, 1990-2010)

15. Did the nominee receive an honorable discharge?

16. Is the nominee a service-disabled veteran?

17.

Does this business meet any of the following diverse classifications?

Check all that apply.

Minority-Owned Business
Hispanic-Owned Business
Woman-Owned Business
Asian-American Owned Business
Native American Owned Business
LGBT Owned Business
Other - please specify... Please enter an 'other' value for this selection.

18.

Has this business been certified by any of the following organizations?

Check all that apply.

National Minority Supplier Development Council (NMSDC)
Womens Business Enterprise National Council (WBENC)
U.S. Business Leadership Network (USBLN)
National Gay and Lesbian Chamber of Commerce (NGLCC)
The U.S. Pan-Asian Chamber of Commerce
The U.S. Hispanic Corporate Council
Other - Please specify... Please enter an 'other' value for this selection.

About the Company

19. In what year was the company founded?

20. What percentage of the company does the nominee own? This question requires a valid percent format.

21.

What is the legal structure of the company?

22. How many veterans does the company currently employ?

23. Please select the category in which the bulk of your customers fall:

Please enter an 'other' value for this selection.

24.

Please list the percentage of revenue growth over the last two fiscal years: (e.g. 2015 28%, 2016 37%)

2015
2016

About the Nominee

25.

In roughly 500 words, please explain why the nominee deserves to be recognized as the 2017 Vetrepreneur® of the Year:

27. Nominator

Name
Title
Company
Phone
Email

27.

I hereby certify that each and every statement on this form is true and complete to the best of my knowledge or ability and I understand that any misstatement or otherwise false representation will subject the company represented by the information provided herein to disqualifications and dismissal from consideration for the 2017 Vetrepreneur of the Year.

2017 Vetrepreneur of the Year Survey