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Lift Up Local Application
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Lift Up Local
Business of the Year
Lift Up Local Application
Lift Up Local Selection Criteria
A “small business,” defined as a company with fewer than 25 employees.
Diverse/minority-owned businesses are preferred.
Businesses with a focus on health and wellness, safety, community outreach/benefit, non-profit are preferred.
Businesses who are seeking support in marketing, communications, public relations and/or branding are preferred.
Applications close March 1, 2023
SummaCare 2023 Lift Up Local Business of the Year Application
Type of Business/Organization
Non-profit
For-profit
Sole Proprietorship
Partnership
Corporation
Limited Liability Company (LLC)
Business Name
Business Street Address
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
ZIP Code
Business Phone Number
Business Email Address
Business Owner(s) Name One
Business Owner(s) Name Two (if applicable)
Date Business Established
Current Number of Employees (including Owner) as of Application Date
Existing Business Facebook Page URL
Existing Business LinkedIn Profile URL
Existing Business Instagram Profile URL
Existing Business Twitter Profile URL
Existing Business YouTube Channel URL
Other Existing Business Social Media URL(s)
Describe Business Offerings
Describe Target Customers
Describe Current State of Business
Describe Business Challenges
Describe Business Opportunities
Describe Marketing Support Needs
If selected, what goals do you hope to achieve as the SummaCare 2023 Lift Up Local Business of the Year?
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