STEMMy's Nomination Form Question Title * 1. Nominee Information Nominee Name * Nominee Company * Nominee Title Nominee Email Address * Nominee Phone Number * OK Question Title * 2. Category in which you are nominating Groundbreaking Leadership Rising Trendsetter Enterprising Innovator WiSTEMM Educator Student Achiever Corporate HERO WiSTEMM Champion OK Question Title * 3. STEMM Field in which Nominee works Science Technology Engineering Math Medicine OK Question Title * 4. Awards & Accolades Received by Nominee OK Question Title * 5. Describe leadership/professional/technical accomplishments of Nominee OK Question Title * 6. Briefly describe why you believe the nominee should be recognized in this category. OK Question Title * 7. GROUNDBREAKING LEADERSHIPIf you are nominating in the Groundbreaking Leadership category, please answer these questions about your nominee. How is she a Champion of Women in STEMM, promoting gender equity in leadership roles, supporting women entering or growing STEMM careers and celebrating achievements by women in STEMM? How is she a 360 Degree Leader who casts a vision, sets and attains goals, learns from other leaders, mentors others, influences peers, propels innovation and change? How is she known for Industry Excellence, as an expert on product/service/process, have a history of high quality results, customer loyalty, be a contributor to progress in her industry and be involved in professional organizations? How is she Engaged in Community, in efforts that impact our community, drives positive economic trends, demonstrates social responsibility and invests in employee culture? OK Question Title * 8. RISING TRENDSETTERIf you are nominating in the Rising Trendsetter category, please answer these questions about your nominee. How is she an Influencer in STEMM, showing peer recognition and peer support? How is she an Emerging Leader for women in STEMM? How is she involved in STEMM activities either in her company or in the community? How does she exemplify Industry Excellence, by demonstrating influence in her STEMM field? How is she viewed as a key contributor in the company/industry of her chosen STEMM field? How is she Engaged in Community, in efforts that impact our community, drives positive economic trends, demonstrates social responsibility and invests in employee culture? OK Question Title * 9. WiSTEMM EDUCATORIf you are nominating in the WiSTEMM Educator category, please answer these questions about your nominee. How is she recognized by her institution as an Excellent Educator based upon student or faculty assessments? How does she promote Involvement in STEMM related activities (e.g.faculty sponsor of an engineering organization)? How is she Engaged in Community, in efforts that impact our community, demonstrating social responsibility and investing in others? OK Question Title * 10. STUDENT ACHIEVERIf you are nominating in the Student Achiever category, please answer these questions about your nominee. What Professional Aspirations does she have in the STEMM field? What are her Academic Achievements? How does she demonstrate Involvement in the student organizations or community? How is she a Leader amongst her peers at her college or university? OK Question Title * 11. ENTERPRISING INNOVATOR If you are nominating in the Enterprising Innovator category, please answer these questions about your nominee. How does she demonstrate Exemplary Leadership for her business by establishing a strong vision and achieving great success? How is she an Emerging Leader for women in STEMM? How is she involved in STEMM activities either in her company or in the community? How is she Engaged in Community, in efforts that impact our community, drives positive economic trends, demonstrates social responsibility and invests in employee culture? OK Question Title * 12. WiSTEMM CHAMPIONIf you are nominating in the WiSTEMM Champion category, please answer these questions about your nominee. How is he or she a Champion for Women in STEMM, promoting gender equity in leadership roles, supporting women entering or growing STEMM careers and celebrating achievements by women in STEMM? How is he or she a Bridge Builder who casts a vision for gender equity and acts on that vision? OK Question Title * 13. CORPORATE HEROIf you are nominating in the Corporate Hero category, please answer these questions about your nominee. What ties to STEMM does this company have (e.g. Financial Industry with Strengths in Technology)? Describe why you believe this company should receive the Corporate Hero STEMMy Award Describe how the company is actively Engaged in the STEMM Community in the Kansas City metro area. Describe how the Company provides a High Level of Support / Benefits for Women working in STEMM fields Describe leadership / professional / technical accomplishments. OK Question Title * 14. Contact Information Your Name Your Company Your Email Address Your Phone Number OK DONE