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National Small Business Week
SBA Form 3309, 8(a) Graduate of the Year
Instructions: Refer to the National Small Business Week Award Nominations Guidelines
for detailed instructions for submitting nominations.
This form must be completed by the nominee or by the nominator. The completed form must be
submitted with the nomination package as noted in the award guidelines. Answer each question
as fully as possible; if it is not applicable, state N/A.
1. Nominee Information:
a. Name:
b. Title:
c. Business name:
d. Business address:
e. Business phone number:
f. Business email address:
2. Nominator Information (if you are nominating yourself, write n/a):
a. Nominator name:
b. Title:
c. Address:
d. Phone number:
e. Email address:
3. How many years has the nominee’s business been operational?
4. How many employees does the business currently have?
5. Does the business have a website? If yes, list the URL:
SBA Form 3309 (08/2017) (Previous Editions Obsolete)
6. To assess the financial performance of the business for the last 3 calendar years, fill out the
chart below.
Financial Summary
Year
2014
2015
2016
Number of
Employees
Total Sales
Net Profit
(Before Tax)
Total Assets
Total Liabilities
Net Worth
Answer each of the following questions in 200 words or less.
7. Provide a biography for the nominee(s):
8. Describe the nominee’s business, including products/services offered and how they fill a
niche or technical need not being adequately addressed by the competition:
9. Besides the 8(a) program, has the business received any other type of SBA assistance (e.g.
SBA loan, U.S. Export Assistance Center, Veteran’s Business Outreach Center, Boots to
Business, SCORE counseling, Small Business Development Center (SBDC) assistance,
Women’s Business Center (WBC) assistance, disaster assistance, or Emerging Leaders
Initiative)? If yes, please explain (include the amount and date of financial assistance
received if applicable):
10. Has the business met or exceeded its contract requirements? Please explain:
11. Has the business efficiently utilized its assets? Please explain:
12. Has the business sustained control over performance costs? Please explain:
13. Has the business been finically stable over the length of its contract? Please explain:
14. Describe the nominee’s customer engagement practices:
15. Has the nominee faced adversities or obstacles while in business? Please explain and also
include the actions taken to resolve the situation:
SBA Form 3309 (08/2017) (Previous Editions Obsolete)
16. Has the business received any awards or other recognitions? Please explain:
17. Does the nominee participate in community projects or charities? Please explain :
18. Describe how the nominee has engaged with a disadvantaged community:
Caution: Penalties for False Statements
Knowingly making a false statement on this form is a violation of Federal law and could result in
criminal prosecution, significant civil penalties, and a denial of program participation or other
benefits awarded by the agency. A false statement is punishable under 18 U.S.C. §§ 1001 and
3571 by imprisonment of not more than five years and/or a fine of not more than $250,000 and
under 15 U.S.C. § 645 by imprisonment of not more than two years and/or a fine of not more
than $5,000.
Paperwork Reduction Act Notice:
SBA will use the information collected on this form, along with other information submitted
by award nominees as part of the nomination package, to determine the nominee's eligibility
for a particular small business award; to identify any actual or apparent conflict of interest
and, to make eventual award determinations. Responding to this request for information is
voluntary. However, failure to provide the requested information may affect SBA’s ability
to make a decision regarding your eligibility for an award.
You are not required to respond to any collection of information unless it displays a currently
valid OMB control number (3245-0360). The estimated burden for completing this form is 1
hour and 15 minutes, including the time for reviewing the instructions, and gathering and
compiling data. Combined with the time for completing the Form 3300, the total estimated time
to prepare and submit the nomination package for each nominee is 90 minutes. Comments on
this burden estimate should be sent to the U.S. Small Business Administration, Chief, AIB 409
3rd St., SW, Washington, DC 20416, and Desk Officer for the U.S. Small Business
Administration, Office of Management and Budget, New Executive Office Building, Room
10202, Washington, DC 20503. DO NOT SEND COMPLETED FORMS TO OMB. Submit
them to the location indicated in the nomination guide.
SBA Form 3309 (08/2017) (Previous Editions Obsolete)
File Type | application/pdf |
Author | Goriel, Natale S. |
File Modified | 2017-08-09 |
File Created | 2017-08-09 |