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Home
About
Categories
Criteria
Nominate
Prizes
Celebration Night
Sponsors
Contact
Nomination Form – Young 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 including current job role and scope of responsibilities (dot points sufficient).
Provide an overview of his/her 5-year goals/milestones and how you are working towards these.
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Describe the key challenges she/he has faced as a young business professional and how he/she deal with these challenges.
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Where and from whom does she/he seek their inspiration from and why?
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How does he/she demonstrate inspiration to other young entrepreneurial people?
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What do you believe makes her/him a good leader?
*