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 high-res (300 DPI at 3x5 inches) 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. Please review the judging criteria for the category you have selected. Winners will have an opportunity to redact any details they do not wish to be shared publicly. *

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 if they are selected as a 2023 Woman of Excellence? *

Yes

No

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