Nominee’s Full Name
*
Current Position/Title
*
Nominee’s Organization/Company
*
Company Website
*
Nominee’s
Email Address
*
Nominee’s
Phone Number
*
Nominee’s LinkedIn Profile
Nominator Name
Nominator Current position/ title
Nominator Email Address
Nominator
Phone Number
Which Award Category Are You Nominating For?
Select one...
Leadership Excellence Award
Tech Innovator Award
Investor Award
Rising Star Award (Best Female Founder)
Change Catalyst Award
Outstanding Company for Gender Diversity Award
Influencer of the Year Award
Excellence in HR for Diversity and Inclusion Award
Allyship Champion Award
People Choice's Award
Describe the Nominee’s Key Achievements and Contributions (200-300 words):
Please describe how the nominee has demonstrated excellence in their field. (150-500 words)
What specific impact has the nominee made on their organization or industry? Please provide examples or measurable outcomes.
Has the nominee received any previous awards or recognitions, or been featured in any media or publications?
Is There Any Other Relevant Information or Accomplishments That Should Be Considered?
Share Any Media or Publications Featuring the Nominee’s Achievements:
High-res Photo of the Nominee
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Please upload a high-resolution professional photo of the nominee, featuring at least a waist-up view. The photo should be clear and appropriate for formal recognition.
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High-res Photo of the Company Logo (if they are a founder)
(required if applicable)
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Documentation: Supporting Documents such as Resumes, Recommendation Letters, Portfolios, Project Descriptions, and Impact Reports: (optional)
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Social Media Handles:
Consent to Share Nominee Information
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Nomination Deadline:
If you haven’t included this yet in the form intro, having a clear field that states the deadline would be helpful.
Confirmation or Certification Field:
Add a checkbox where the nominator can confirm that all information provided is true to the best of their knowledge.
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