TiECON SE 2013 Awards - Corporate Intrapreneur of the Year

"Corporate Intrapreneur" - Nomination Form

Companies must be located as a primary place of business in Georgia, Florida, South Carolina or North Carolina. All companies and products are eligible for consideration based on their business accomplishments made during calendar 2012. Companies may be nominated for multiple award categories, and companies may win multiple awards. There are no fees to nominate companies for consideration. TiE Membership/Sponsorship is not a criterion for selection.

Candidates for the Corporate Intrapreneur of the Year award must meet the following specific criteria:
- Employed at a Company with greater than $50M in annual revenue.
- Demonstrated Projects and Initiatives should be submitted.

- The deadline for all nominations is April 10, 2013
- Attendance at the conference is encouraged. The awards portion of the TiECON Southeast 2013 Conference will be held from 4:00 p.m. - 6:00 p.m. at the Renaissance Atlanta Waverly Hotel.
- All information will remain confidential to the judging team. If you have any questions, please contact admin@tie-atlanta.org.

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* Nominee Information

Name:

Company:

Title:

Email Address:

Phone Number:

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* Nominee's Assistant (If applicable)

Name:

Email Address:

Phone Number:

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* Nominator (if different from the nominee)

Name:

Company:

Title:

Phone Number:

Email Address:

Phone Number:

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* Your affiliation with the nominee

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* Decribe your company in two sentences.

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* Describe your innovative corporate product, service or solution in three sentences.

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* What is your 3-5 year vision for this internal initiative?

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* Describe the untapped or newly created market. (<200 words)

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* Please list significant milestones regarding your internal initiative. (please use bullets)

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* Describe your biggest obstacle. (less than 200 words)

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* Which lines of business, executives and/or board members required buy-in, in order to implement your initiative? (Please use bullets)

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* Describe the person being nominated, role and responsibilies. (<150 words)

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* List any current or previous additional information about the nominee i.e. awards, community involvement, mentoring, for-profit and/or non-profit board positions, member of organizations, etc. (Please use bullets)

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* Additional information regarding you or your company achievements, i.e. unique challenges, etc. (< 200 words)

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* I CERTIFY THAT ALL INFORMATION IS CORRECT.

Yes