*1.First and Last Name(Required.)

*2.Email(Required.)

3.Company Name

4.Contact Phone Number

5.Where do you live (City/State or City/Province)

6.Which of the following apply to you? Check all that apply

WPO Member

WEW Member

Not a member of WPO or WEW

Military Veteran

Veteran Spouse

Other (please specify)

*7.Please confirm that you are a woman of color. To proceed with this nomination you must be a woman of color (defined as nonwhite women whose ethnic identities intersect with one or more nonwhite ethnic group).(Required.)

I confirm I am a woman of color

*8.Which award category applies to you? Select one(Required.)

Company revenue of $10M+

Company revenue of $1M to $10M

Company revenue of $500K-$1M

9.What is your 2025 Company revenue? (This will be kept confidential)

10.I am the (select all that apply)

Majority Owner

Owner (but not majority)

Founder

CEO/President

11.What percentage growth has the company experienced in the past year? (must be a positive number)

12.Please describe any give-back activities you participate in. This could include but not limited to nonprofits, foundations, mentoring, charity work, community projects and boards. Limit 400 words

13.Please summarize how you are making an impact in the following areas (100 words max for each):

In or through your business

For women and/or women of color

For the future or for future generations

14.Please list any awards or accolades you would like to mention. 250 words max

15.If you are named a winner, you must be able to attend to collect your award. Please confirm you can you attend the awards ceremony the evening of Wednesday, Oct. 21, 2026. Please note you will not be permitted to send a representative in your place.

Yes

No

Maybe

16.Would you be interested in hearing more about any of the below offerings? (check all that apply)

WPO Membership

WEW Membership

N/A