ATHENA Leadership Award - Nomination Form

The ATHENA Leadership Award celebrates exemplary leadership and is reflective of a quote by Plato: What is honored in a country will be cultivated there.  Over 5,000 recipients have been honored with the ATHENA Leadership Award since the program's inception in 1982. 

Presented to leaders across professional sectors, the ATHENA Leadership Award's rich history, international scope and focus on mentorship distinguish it as one of the most prestigious leadership awards one can receive.

The Criteria
ATHENA Leadership Award Nominees must meet each of the following three criteria:
     *Demonstrate excellence, creativity and initiative in their business or profession
     *Provide valuable service to improve quality of life for others in their community
     *Actively assist women in achieving their full leadership potential

Qualifications
*ATHENA Leadership Award Nominees may represent either the profit or not-for-profit sector.
*Previous ATHENA Leadership Award Recipients are not eligible for nomination again for two years, however past nominees may be nominated again.
*There is no minimum or maximum age qualification that must be met by ATHENA Leadership Award Nominees.

You may include supporting documents (articles, testimonials, etc.) maximum is 10 by emailing them to carol@sheboygan.org referencing your nominee's name so they can be matched up with this nomination form.  Deadline for submission is  Friday, October 1, 2021 at 3:00 p.m.


Question Title

* 1. I would like to nominate the following individual:

Question Title

* 2. Nominee Company/Organization:

Question Title

* 3. Title/Position:

Question Title

* 4. Nominee Company/Organization Address:

Question Title

* 5. City, State, Zip Code:

Question Title

* 6. Work Phone:

Question Title

* 7. Nominee Email Address:

Question Title

* 8. Nominee Phone Number:

Question Title

* 9. Nominator Name:

Question Title

* 10. Nominator Company/Organization:

Question Title

* 11. Nominator Company/Organization Address:

Question Title

* 12. City, State, Zip Code:

Question Title

* 13. Nominator Email Address:

Question Title

* 14. Nominator Phone Number:

Question Title

* 15. Please provide examples of how the nominee has demonstrated excellence, creativity and initiative in their business or profession.

Question Title

* 16. Please provide examples of how the nominee provides valuable service to improve the quality of life for others in their community. Include type and length of service in civic and service organizations and initiatives.

Question Title

* 17. Please provide at least three examples of how the nominee has actively assisted women in achieving their full leadership potential and/or demonstrated support for their personal and professional advancement.

Question Title

* 18. Include any additional information, if available, that you feel is important for consideration of your nominee.  Include awards, honors, publications, articles and/or testimonials that demonstrate service to their profession, community and, most importantly, aspiring and established women leaders.

Question Title

* 19. Do you wish to remain anonymous?

T