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The award will be given to a CEO who leads either a company in high technology or medical technology. The CEO can represent a company with 100 employees or less in high technology or medical technology. 

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* 1. Your Name

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* 2. Name of Nominated Company

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* 3. Name of Considered CEO

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* 4. Number of Employees

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* 5. Please describe your connection to Orange County. (Headquarters, local office, investors, CEO based)

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* 6. Why should the CEO be nominated for this category? Please limit this response to 500 words or less.

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* 7. Has this CEO been nominated for an HTA Award in the past two years?

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* 8. Is there any additional information you would like to include?

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* 9. Please provide name of executive to reach out to for interview

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* 10. Please provide name and contact information for a marketing contact

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* 11. Opportunity to upload any additional information

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