2011 Governor’s Technology Awards

Entry FormPresented by Louisiana Economic Development and the

Louisiana Technology Council

Deadline for entry: June 13, 2011Please e-mail completed nomination form in Word to:

Mary Taurman, Louisiana Technology Councilmtaurman@ltc-la.org.

The winners will be honored at a luncheon in Baton Rouge, LA(location pending)

Keynote speaker: Governor Jindal

Louisiana continues to evolve as a state with a vibrant, balanced economy, a fully engaged, well-educated workforce and a quality of life that eventually will place it among the top ten states in the country in which to live, work, visit and do business (Louisiana Vision 2020).

The 2011 Governor’s Technology Awards competition, presented by the Louisiana Technology Council and Louisiana Economic Development, is one of the ways we emphasize technology as the driving force behind the growth and diversification of the state’s economy. Developing a Culture of Innovation is a major component of Louisiana: Vision 2020. It focuses attention on technology across all industries such as medical and biotech, manufacturing, software, internet and telecommunications, advanced materials, and much more. Environmental, green and other emerging technologies are also helping to drive the technology industry in Louisiana. With this event, we are seeking unique and cutting edge technology applications, individuals and organizations that have made a difference in the State of Louisiana and across the United States.

Five broad categories will honor individuals as well as companies, universities and other organizations that advocate technology, and they are:

Technology Leader of the YearTechnology Company of the Year

University Technology Leader of the YearInnovator of the Year

Rising Star of the Year

Our challenge is to create a new and better Louisiana and technology is considered to be the guide to economic renewal and diversification. It is a platform for innovative initiatives and entrepreneurship. It is a process by which our progress toward long-term goals will be managed and monitored.

Please enter your organization, leaders in your organization, leaders in your city or community, or industry for the 2011 Governor’s Technology Awards. If you have any questions regarding this entry form, please contact Mary Taurman, mtaurman@ltc-la.org or Tricia Caminita, tcaminita@ltc-la.org- (504) 304-2910.

Deadline for entry is 5:00 pm June 13, 2011.

SUBMIT NOMINATION TO:Mary Taurman, Louisiana Technology Council

Via email at mtaurman@LTC-LA.org (preferred) Or via fax to: (504) 304-2905

Nominations are being encouraged and solicited from ALL organizations across the entire State of Louisiana.

Technology Leader of the Year Award

The Technology Leader of the Year will be presented to an individual who has made a substantial contribution to the state’s technology sector over the past year. The contribution may be through research, work force development, job creation, scholarship, public awareness and/or entrepreneurial activity.

When submitting your nominees for the Technology Leader of the Year Award, please use the following outline. Do not send personal resumes; your submission should not exceed five typed written pages.

Name of nominee:__________________________________________________

Nominee’s Associated Organization:____________________________________

Affiliation:____________________________________________________

Address:_____________________________________________________

Phone:_____________________ E-Mail:_________________________

Submitted by (If different from above): ______________________________

Phone:_____________________ E-Mail:__________________________

1. Describe what this individual has done to contribute to the advancement of the state’s technology sector.

2. Assess the degree to which this leader’s energies have impacted the state’s technology sector.

3. List any awards, honors or personal distinctions this person has won.

4. Please remit any other information you feel is relevant for the committee reviewing this nomination.

SUBMIT NOMINATION TO:Mary Taurman, Louisiana Technology Council

Via email at mtaurman@LTC-LA.org (preferred) Or via fax to: (504) 304-2905

Technology Company of the Year Award

The Technology Company of the Year Award will go to a company that demonstrates corporate leadership through the innovation of its technology products or services, the sustained growth of its corporate assets and its dedication to community involvement. Technology should be the innovative energy fueling this emerging or expanding company.

When submitting your nominees for the Technology Company of the Year Award, please use the following outline. Please do not send pre-printed marketing materials such as brochures or annual reports. Your submission should not exceed five type written pages.

Name of nominee:__________________________________________________

Nominee’s Contact Information:________________________________________

Affiliated Organization:__________________________________________

Address:_____________________________________________________

Phone:_____________________ E-Mail:__________________________

Submitted by (If different from above):__________________________________

Phone:_____________________ E-Mail:________________________

1. Summarize the products and services the company currently provides.

2. Provide a brief history of the company. (Include key milestones in the corporate life of the company, as well as growth in revenues, number of employees and important changes in technology and innovation that this company has developed or used.)

3. List participation in community activities.

4. List any awards, honors or distinctions the company has won.

5. Please remit any other information you feel is relevant for the committee reviewing this nomination.

SUBMIT NOMINATION TO:Mary Taurman, Louisiana Technology Council

Via email at mtaurman@LTC-LA.org (preferred) Or via fax to: (504) 304-2905

University Technology Leader of the Year Award

The University Technology Leader of the Year will be presented to an individual who has made a substantial contribution to the state’s technology sector through his/her university work. Contributions may be through leadership in the area of technology transfer, or the commercialization of new technology; development of innovative processes and products; training the workforce that will provide the innovators of tomorrow; diversity of research, scholarship, and/or patent and license activity. When submitting your nominees for the University Technology Leader of the Year Award, please use the following outline. Please do not send personal resumes and your submission should not exceed five type written pages.

Name of nominee:__________________________________________________

Nominee’s Contact Information:________________________________________

Affiliation:____________________________________________________

Address:_____________________________________________________

Phone:_____________________ E-Mail:________________________

Submitted by (If different from above): __________________________________

Phone:_____________________ E-Mail:________________________

1. Describe what this individual has done to contribute to the university’s technology sector.

2. Assess the degree to which this leader’s energies have impacted the state’s technology sector.

3. List any awards, honors or personal distinctions this person has won.

4. Please remit any other information you feel is relevant for the committee reviewing this nomination.

SUBMIT NOMINATION TO:Mary Taurman, Louisiana Technology Council

Via email at mtaurman@LTC-LA.org (preferred) Or via fax to: (504) 304-2905

Innovator of the Year Award

The Innovator of the Year Award is presented to an individual, organization or company that has creatively used technology to advance their organization, to improve the client/customers services and positively impact on their community and the state. The winner will be a person or organization that takes advantage of the latest developments in technology to help grow and expand the technology industry.

When submitting your nominees for the Innovator of the Year Award, please use the following outline. Please do not send personal resumes and your submission should not exceed five type written pages.

Name of nominee:__________________________________________________

Contact Information:_________________________________________________

Affiliation:____________________________________________________

Address:_____________________________________________________

Phone:_____________________ E-Mail:________________________

Submitted by (If different from above): __________________________________

Phone:_____________________ E-Mail:________________________

1. Summarize the innovative products, services or procedures that this individual or organization has implemented to improve their own organization or the community at large.

2. Provide a synopsis of their efforts and the results. (Please include key milestones in this process; results may include growth in revenues, substantial savings in time and money, increased number of persons served, etc.)

3. Describe how this individual or organization contributes their innovative talents to any professional or community organizations? If so, please list and briefly describe the contributions.

4. List any awards, honors or personal distinctions this person/organization has won

5. Please remit any additional information you feel is relevant for the committee reviewing this nomination.

SUBMIT NOMINATION TO:Mary Taurman, Louisiana Technology Council

Via email at mtaurman@LTC-LA.org (preferred) Or via fax to: (504) 304-2905

Rising Star of the Year Award

The Rising Star of the Year Award is presented to an entrepreneurial firm located in Louisiana whose products and services offer unique and promising technologies and may become a future economic driver for Louisiana. Entries in this category must have incorporated in Louisiana within the past three years.

When submitting your nominees for Rising Star of the Year Award, please use the following outline. Please do not send pre-printed marketing materials such as brochures or annual reports. Your submission should not exceed five type written pages.

Name of nominee:__________________________________________________

Contact Information:_________________________________________________

Affiliation:____________________________________________________

Address:_____________________________________________________

Phone:__________________________________________________________________________________________________________________E-Mail:

Submitted by (If different from above): __________________________________

Phone:_____________________ E-Mail:___________________________________________________________

1. Summarize the products and services the company currently provides.

2. Provide a brief history of the company. (Include key milestones in the corporate life of the company, as well as growth in revenues, number of employees and important changes in technology and innovation that this company has developed or used.)

3. List any participation in community activities.

4. Summarize your “key to success” in the future.

5. List any awards, honors or distinctions the company has won.

6. Please remit any other information you feel is relevant for the committee reviewing this nomination.

SUBMIT NOMINATION TO:Mary Taurman, Louisiana Technology Council

Via email at mtaurman@LTC-LA.org (preferred) Or via fax to: (504) 304-2905

SUBMIT NOMINATION TO:Mary Taurman, Louisiana Technology Council

Via email at mtaurman@LTC-LA.org (preferred) Or via fax to: (504) 304-2905