Your Name

Your Email

Your Phone

Your Company or Organization

Company Website

Your Address

Nominee Current Work of Scope - Describe the scope of your current role, highlighting your biggest professional responsibilities. Include relevant figures, such as how many years you've held this position and the sizes of the team and budget they manage. Responses should be 75 to 100 words.

Nominee Contributions - Please describe how you have advanced the industry’s cause and/or contributed to the community. How do you donate your time and skills to enrich their community or industry? Tell us about your most significant board memberships, volunteer activities and participation in professional organizations. Responses should be 75 to 100 words.

Nominee Biggest Career Win - Tell us, in detail, about your biggest career win of the last five years. Make sure to describe how it advanced the industry or organization for which you work, including relevant measures of success. Responses should be 75 to 100 words.

Social Media Profile - Nominee’s Personal LinkedIn Profile