World Trade Week 2019 Export Achievement Award Nomination Form



The Los Angeles Area Chamber of Commerce is currently accepting nominations for the 2019 Export Achievement Award.

The Export Achievement Award recognizes companies that have demonstrated success in exporting or have provided export services to others over the past two years.

Recipients of the award must be available May 2, 2019, to receive the award at the World Trade Week Kickoff Breakfast. 

Deadline to nominate is Friday, March 15, 2019.

*Please note: All information provided will be kept strictly confidential.


Company Name
First Name
Last Name
Address
City
State
Zip code
Phone number
Email Address
Name of nominator if different from above
Product(s) or service(s) exported, or type of export service provided:
Please indicate whether the company is one of the following:
If other, please specify
What year was your company established?
How many employees do you have?
 1-10
 10-50
 50-100
 100-500
 500-1000
 1000+
Range of total annual revenue for Fiscal Year 2018:
 <$1M
 $1M - $5M
 $5M - $15M
 $15M - $25M
 $25M+
Range of total annual revenue for Fiscal Year 2017:
 <$1M
 $1M - $5M
 $5M - $15M
 $15M - $25M
 $25M+
Estimated percentage of revenues derived from exports 2018*:
Estimated percentage of revenues derived from exports in 2017*:

*Range of total revenue and estimated percentage of revenue derived from exports must be provided for consideration. Please note: All information provided will be kept strictly confidential.

Please indicate the countries within each geographical region to which you export:

Europe

Middle East
Canada
Africa
Asia
Latin America
Please indicate below which export challenges your company has experienced:
 Tariff Barriers
 Credit Terms/Financing
 Identifying Distributors
 Pricing
 Technical Specifications
 Product Design
 Delivery
 Non-Tariff Barriers
 Other
If other, please indicate:
Please provide a detailed narrative of the nominee's export experience, barriers and challenges overcome, and any other special circumstances that make the achievement noteworthy. Narrative should include an explanation of company's export growth strategy that led to this increase in export sales. A separate attachment should be provided. Evaluation will be based on narrative as provided.
For export service providers, please provide a detailed narrative of the nominee’s provision of export assistance and how they have helped exporters to achieve success with their global strategies, barriers and challenges overcome, and any special circumstances that make the achievement noteworthy. A separate attachment should be provided. Evaluation will be based on narrative as provided.

Please complete the above application, including the Declaration of Accuracy* form, by Friday, March 15, 2019.

*Declaration of Accuracy must be submitted for application consideration. Please return this form separate from your online application. You may return by fax: 213.580.7545, or by email: jgonzalez@lachamber.com.

Recipients must be available to receive the award on May 2, 2019, at the 93rd annual World Trade Week Kickoff Breakfast in downtown Los Angeles.