Giving Back Awards Nomination - For-profit Business or Corporation

Please use this form to share information about how your company has given back to the local community. Organizations will be contacted if selected, so please ensure that you provide the most reliable contact information for the company. You MUST fill out this form in its entirety to be considered. Deadline to enter is July 30, 2021.
Name of Company
Company Contact Name Company Contact Name First Last
Company Address Company Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Company Web Site
Nominator's Name Nominator's Name First Last
Nominator's Job Title
Nominator's Direct Phone Number Nominator's Direct Phone Number - ### - ### ####
Nominator's Email
Check all that apply to your company

Check all that apply to your company Internships Mentorships Volunteerism In-kind donations Product donation Housing assistance Continuing education Charitable contributions Partnerships with non-profits Percentage of profits donated Employment opportunities / trainings Other
Please share in more detail about the charitable programs or community-minded initiatives that are unique to your company:
How does your company give back to the local community?
Maximum of 1500 words allowed. Currently Entered: 0 words.
How long have you been practicing these initiatives and how are employees and leadership involved?
Maximum of 1500 words allowed. Currently Entered: 0 words.
Provide specific examples of any impactful programs, initiatives or events that have improved lives in the Coastal Virginia community in the last year.
Maximum of 1500 words allowed. Currently Entered: 0 words.
What sets your company apart in terms of community impact?
Maximum of 1500 words allowed. Currently Entered: 0 words.
Finish this statement: “To our company, giving back means _______.”
Maximum of 1500 words allowed. Currently Entered: 0 words.