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Home
About
Categories
Criteria
Nominate
Prizes
Celebration Night
Sponsors
Contact
Nomination Form – Professional Leader
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Step 1 of 4
25%
Nominee
Title
*
Name
*
First
Last
Occupation
*
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Phone
*
Email
*
Referee
Title
*
Name
*
First
Last
Phone
*
Email
Nominator
Title
*
Name
*
First
Last
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Phone
*
Email
Anonymous Nomination
Yes I wish for my nomination to remain anonymous
Nominee Profile
Nominee Profile
*
Provide a current profile of the nominee including the title, current business role, scope of responsibilities.
Why do you believe the nominee should be considered as a business leader?
*
Provide an overview of your 5 year goals /milestones.
*
Detail his/her achievements in their business in the previous 12-24 months.
*
Describe the key challenges he/she has faced as a business leader in the past 12 months and how he/she overcame them.
*
Demonstrate how he/she has helped the community (and or the business community) overcome social or environmental problems.
*
Detail measurable evidence of how he/she contributes to their local community.
*