Dallas/Fort Worth Minority Supplier Development Council
MBE Supplier of the Year
Congratulations on being nominated for the Dallas/Fort Worth Minority Supplier
Development Council’s E AWARD Supplier of the Year recognition.
Thank you for your interest in the Dallas/Fort Worth Minority Supplier
Development Council’s Annual E Awards. The E Awards are the pinnacle of
recognition for minority business performance, utilization, advocacy and
This Form should be completed by the principal owner or authorized representative of the Minority-
Owned Company. Worksheet must be typed. For items 3 through 6, please provide a separate
statement for each section, not to exceed 250 to 300 words.
In keeping with the Green Initiative, we request all applications be submitted electronically to
email@example.com. Your application with attachments is due by October 5, 2012.
Submission must include
o letter of nomination from a D/FW MSDC Buying-Entity Partner (corporate or
public sector agency)
o a disc containing the following items – if your organization has multiple nominees please
remit only one (1) disc with your submission materials (i.e. if your organization also has
nominees in the advocate category please submit one disc for your entire organization that
contains a high-quality professional headshot for each individual nominee.
1. one photograph (headshot view), submit on disc
2. one company logo (400 dpi .jpg or .gif) submit on disc
MBE Supplier of the Year
Please select the Sales Classification that pertains to your company:
____ Class 1: Annual sales less than $1 million
____ Class 2: Annual sales between $1 million and $10 million
____ Class 3: Annual sales between $10 million and $50 million
____ Class 4: Annual sales greater than $50 million
Check box if you are a Construction MBE Supplier
2. General Information about You and Your Company:
Telephone :(____) ____________________ Fax: (____) ___________________
Asian Indian American Hispanic American
Asian Pacific American Native American
Gender: Female Male
3. MBE to MBE Purchases: (Required for all award nominees) (15 points)
Describe how the nominee works with and utilizes other minority-owned businesses.
Total dollars spent with other MBE’s in 2011 $ ________2012 projection $_______
Describe other initiatives or special assistance nominee has provided to other MBE’s.
(Initiatives or assistance should be for the past two (2) years)
4. Business Growth and Development (30 points)
Please tell us about your business:
Date Established: ______________ Years Operating With Present Owner: ________
Architect/Engineer Services (non-Professional-specify)
PRINCIPAL SERVICE (Please be specific):
SALES AND MARKET GROWTH (Gross Sales):
Please use actual dollar amounts, not words.
2010 2011 2012(projected)
Totals _____________ ______________ _______________
EMPLOYMENT/JOB CREATION HISTORY
Please tell us about your company’s ability to create jobs over the past three years.
2010 2011 2012 (projected)
5. Operations (40 points)
Please give us an in-depth view of your business:
List major customers and products supplied to the public/private sector. Provide letters of
recommendation, if available.
Major Customers Product/Service Supplied Contact Name & number
a.) Identify any outstanding business performance in the areas of quality of products/services,
delivery, competitiveness and servicing.
b.) What innovative approaches, cost saving ideas or unique specified services have you provided
to your customers?
c.) What obstacles and adversities have you overcome that had an impact on your business
Other Considerations: Please describe any additional examples that demonstrate your business
performance and why you should be considered for this award.
6. Community Involvement/Major Accomplishments (5 points)
Describe the ways in which you have used your entrepreneurial skills and creativity to help improve the
quality of life and overcome obstacles in the community. Describe the strategy implemented, resources
committed (financial and human) and the benefits derived.
Provide references on your major accomplishments if available.
7. D/FW MSDC Involvement (10 points)
Please list your D/FW MSDC involvement, i.e. Committee participation, Sponsorship,
Truth of Information Release
The information provided is true and complete to the best of my knowledge and belief. I agree that if my company
is selected as an award recipient, I hereby authorize the release of my company name, recording of company
representative’s voice, photographs and logos (including video or other forms of media), to the Dallas/Fort Worth
Minority Supplier Development Council , for use at its discretion, in connection with its MBE Supplier of the
Year awards program. I understand that no compensation, of any sort, shall be due the company or any of its
representatives for such usage. In addition, the Dallas/Fort Worth Minority Supplier Development Council will
treat all financial information as confidential unless I specifically agree to its release.
Please print or type