Georgia Mentor Protege Connection
2018 Small Business Nomination Form -Final
Nominate a small business to apply for the 2018 Georgia Mentor Protege Connection program.
Business Chamber/ Association
Economic Development Agency
Small Business Development Agency/Organization
How did you hear about the nomination/application period opening?
Word of Mouth
The information acquired in this section is for the company you would like to recommend/ nominate for the 2018 program.
Nominee ( Small Business CEO)
Nominee Company Name
Nominee Contact Email
Nominee Phone Number
Does the nominee company comply with the following eligibility requirements? Check all that apply.
Annual Revenue at least $1M-$30M ?
At least 3 Years in Business?
At least 3 Full Time Employees?
A registered business with the Georgia Secretary of State?
What industry is the nominee business in?
Information & Technology
Please share why you believe this company should be considered for the 2018 class
What Certifications Does the Nominee Company Have? Please Check All That Apply
Select a Choice
Do Not Fill This Out