NOMINEE INFORMATION

Nominee First Name *

Nominee Last Name *

Nominee Email *

Confirm Nominee Email *

Nominee Business Name or Organization *

Nominee Job Title/Role *

Nominee Phone Number *

How do you know this woman? *

If available, please provide a photo of the person you are nominating

AWARD CATEGORY

Please select a nomination category from the dropdown list *

NOMINEE QUALIFICATIONS

Please include a detailed and robust description of the nominee's qualifications for this category. Submissions less than 250 words will be disqualified. *

0 words

NOMINATOR CONTACT INFORMATION

Nominator First Name *

Nominator Last Name *

Nominator Company Name *

Nominator Job Title or Role *

Nominator Email *

May we share this information with the nominee you have submitted? Nominees will be notified via email that they have been nominated as a 2022 Woman of Excellence and that their nomination will be published on our website if they consent to move forward with the submission process *

Yes

No

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