Insurance Business' third annual Elite Women report will celebrate the industry's female trailblazers - offering well-deserved recognition for the hard work, determination, and inspiration each individual provides.

If you are, or you know, an insurance professional who deserves a spot on the Elite Women list, fill out the form below. Self-nominations are accepted and encouraged. Nominations should focus on achievements and initiatives from the past 12 months.

All nominations are completely free.

The final Elite Women list will be featured in July in Insurance Business magazine issue 10.04 and on the website.

Entries close Friday, May 14, 2021.

For questions/clarifications, email cristina.zaragoza@keymedia.com

Insurance Business is committed to promoting diversity and inclusion in the insurance industry. Survey participants are invited to nominate industry professionals contributing to the success of their industry, regardless of race, sexual orientation, religion, ethnicity, national origin, disability, or age.

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* 1. Nominee Information

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* 2. Why do you think the nominee is a woman of influence? Please provide details about her professional accomplishments, initiatives and innovations and contributions to the insurance industry, focusing on standout achievements from the past 12 months. The more specifics you can provide, the more likely we'll be able to feature her.

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* 3. How has this nominee contributed to diversity and inclusion in the workplace and/or the industry?

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* 4. Why else should the nominee be considered for the Elite Women list? For example, volunteer roles, charity work, accomplishments and positions held outside of the industry etc.

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* 5. Should the nominee be selected for IB Elite Women 2021, please indicate whether we should reach out to the nominator or the nominee directly for further information:

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* 6. Your details, if different from the nominee:

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* 7. The information provided in this submission is accurate to the best of my knowledge. If nominee is successfully selected as an Elite Woman, I accept that any or all information provided (excluding information marked as confidential) may be published on the Insurance Business website.

For any questions or concerns, please contact cristina.zaragoza@keymedia.com

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