2022 Nomination Form: Leading for Impact in Federal Technology & Consulting, Women in Leadership Awards

FedHealthIT and G2Xchange are privileged to be organizing and hosting the 5th Annual Leading for Impact, Women in Leadership Conference this November in Washington, DC. This in-person event will recognize and honor women creating IMPACT, and leading organizations and mission-focused strategic programs across the Federal Technology and Consulting Community.

Nominations for the 2022 awards are now open with responses due by EOD September 2, 2022.

Please Note that this Award is evergreen. Once an Individual has been honored with a Leading for Impact Award they will always be recognized as an honoree, and will not be eligible to be named for another year's class.

(Example: Someone named a 2019 Impact Award Winner cannot be named to our 2022 Class of Awardees.)

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* 1. Nominees may be individuals from the Government, or from Industry. Please include your Nominee's name and information below.

Nominee Name:

Nominee Job Title:

Nominee Agency or Company:

Executive Assistant or Additional Point of Contact (if applicable):

Telephone Number:

Email Address:

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* 2. How specifically is your nominee driving, guiding and mentoring the industry through their impactful leadership; driving technology and business transformation and modernization; and/or leading and embracing change management required to initiate the next positive disruption that will truly change how Federal agencies support their mission? [Points will be assigned based on the listed criteria - please try to include a response to each that applies (100 words or less)].

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* 3. Provide a compelling statement or comment about this individual and/or the initiative they are leading. (144 characters or less)

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* 4. Please enter your contact information below. (The nomination will remain anonymous):

Nominator Name:

Government Organization or Company:

Telephone Number:

Email Address: