Startup Company of the Year Nomination Form

Startup Company of the Year
Award Nomination Form

Recognizes an early-stage Iowa technology company that demonstrates significant market potential, creativity, and a promising future. The company is within five years of inception (inception begins at state registration of the business or public promotion of the business) AND earned less than $1 million in sales revenue in the company's last reported fiscal year. You are able to begin this nomination and return at a later date to complete it by selecting the "Save and Continue Later" button at the bottom of the form. If you choose to do so, a link will be emailed to you to finish the form.

Nominator Information
Nominator Email*
Nominator Name*
First Last
Nominator Company*
Nominator Phone*
Nominee Information
Please list the organization you would like to nominate.
Nominee Organization Name*
Nominee Website*
Nominee Contact Name*
First Last
This is the main point of contact for notification and to coordinate the next steps on behalf of the company you are nominating.
Title of Nominee Contact*
Nominee Contact Email Address*
Nominee Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Nominee Phone Number*
Nominee Organization President/CEO*
First Last
Nominee Organization President/CEO Email Address*
Organization CFO
First Last
Organization CFO Email Address
What year was the company founded?*
Executive Overview*
Description of the company and product/service application, mission/vision and market potential.
Market Position*
Uniqueness and size of the problem solved/need filled, a defensible market position created with competition and ability to identify target markets.
Business Impact*
Capital investment in the state/community, payroll growth, job growth, and talent recruited to Iowa in the last 12 months.
Change from Prior Year*
New market penetration, new products introduced, including IP and new customers won in the last 24 months.
Management Team*
Competence and quality of the management team, skill development programs, and outside boards and advisors.
Nominee Company Marketing/Communications Contact
Please provide the contact information for the nominee company's marketing or communications contact.
Name*
First Last
Email*
Phone*
Company Twitter Handle

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Startup Company of the Year
Award Nomination Form

Nominator Information

Nominee Information

Nominee Company Marketing/Communications Contact

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Startup Company of the YearAward Nomination Form

Nominator Information

Nominee Information

Nominee Company Marketing/Communications Contact

About TAI

What We Do

Get Involved

Member Resources

Interest Form

Join A TAI Roundtable

Startup Company of the Year
Award Nomination Form