State Star 2023 Form - 2nd round

Your Name (in case we need to contact you): *

Your Email Address (in case we need to contact you): *

Your State (and Region if CA or TX) *

Name of Your 2023 State Star (as it should appear on the State Star Trophy): *

State Star's Job Title: *

State Star's Email Address: *

State Star's Phone Number: *

Full name of Your State Star's STATE NETWORK (or Region in CA & TX), exactly as it should be printed on the State Star Trophy: *

Tell us why you selected this person as your network's State Star - limit 50 words *

Upload the State Star's photo, in JPG format (minimum file size is 100 kilobytes, and maximum file size is 1 megabyte). The photo should be a portrait layout headshot. *

Drag & Drop Files, Choose Files to Upload

Upload the State Star's bio, in PDF format (maximum file size is 2 megabytes). This file submission is optional. It will be published on the America's SBDC website, if provided.)

Drag & Drop Files, Choose Files to Upload

What is the State Star's LinkedIn profile name/URL? (Optional)

Additional Comments (Optional) - limit 30 words:

Check the accuracy box below: *

The information I am submitting is correct to the best of my knowledge. I understand that information I am submitting will be printed, including on the State Star trophy and the America's SBDC website.

Check the consent box below: *

I understand and approve that America's SBDC staff will contact the State Star after August 1st, 2023, to discuss State Star conference activities.

(Note: After you submit this form, you will receive an email with a copy of the information you submitted. If you don't see the email in your inbox after a few minutes, please check your spam folder. You can also request a copy of your submission by sending an email to webmaster@americassbdc.org, with your network name and the name of the form you submitted.)