Women in Business Leadership Nominations

Award (check one)

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* 1. Please Check One Award Section

Complete the nomination form found below and return via e-mail or hard copy no later than February 3, 2016, for consideration. Self–nominations will be accepted. A selection panel will review the submissions and make selections based upon the criteria outlined on the nomination form. The winners will be featured in the March/April 2016 issue of Inland Business Catalyst magazine and will be recognized and honored at the March 22nd breakfast event. Winners from previous years are entered into our hall of fame and cannot be selected again. Please contact us for a list of previous winners.

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* 2. Nominee:

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* 3. Nominee business/organization and title:

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* 4. How many years has nominee been in this role?

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* 5. Nominee Phone:

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* 6. Nominee E-mail:

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* 7. Explain why this nominee should be considered for the award specified above and why they are worthy of this recognition by their peers. Be as specific as possible but the response must not exceed 250 words (attach additional pages if needed, or send nomination via email to editor@ibcatalyst.com).

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* 8. Please list nominee’s volunteer commitments, boards, committees or other positions held locally, nationally or internationally and how long they have held those positions/roles; attach additional pages if necessary.

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* 9. Information from the person making the nomination. (must be completed)

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* 10. Name:

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* 11. Phone:

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* 12. E-mail:

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