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Th award will recognize a leadership team of a tech or medtech company in Orange County.

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* 1. Your Name

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* 2. Name of Nominated Company

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* 3. Names & Positions of Nominated Leadership Team (up to 5 leaders)

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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 Leadership Team be nominated for this category? Please limit the response to 500 words or less.

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

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

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

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* 10. Opportunity to upload any additional information

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* 11. For this category, the HTA committee requires that TWO members of the   leadership team be available for the interview. Please respond YES to acknowledge you are aware of this requirement. 

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