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2022 Florida Women in Insurance Leadership Awards
Nomination Form
Please complete the online form to nominate a woman
or
company for the Florida Women in Insurance Leadership Awards. Nominees will be notified once nominated.
Nominations will be accepted through February 9, 2022.
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1.
Name of the candidate
(Required.)
First Name
Last Name
*
2.
Email address of candidate
(Required.)
Email Address
Confirm Email Address
*
3.
Business name or organization of candidate
(Required.)
*
4.
Title or role of candidate
(Required.)
*
5.
Nomination category (select one)
(Required.)
Emerging Leader
The Emerging Leader Award recognizes an exceptional young woman under the age of 35 that has shown a clear commitment to and passion for the risk and insurance industry in Florida.
Leadership Pacesetter
The Leadership Pacesetter Award recognizes a woman that has taken the lead within Florida’s risk and insurance industry, within her company and/or organization and continues to set a high standard of achievement for others to follow.
Lifetime Achievement
The Lifetime Achievement Award recognizes a woman that has made a significant impact on Florida’s risk and insurance marketplace through her outstanding achievements and career contributions to the insurance industry.
Diversity, Equity, and Inclusion Catalyst
DEI Catalyst Award recognizes a company or organization within Florida’s risk and insurance industry that has demonstrated its commitment to diversity, equity, and inclusion by advancing programs and initiatives that break down barriers in the risk and insurance industry by promoting a more diverse, equitable, and inclusive culture.
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6.
Describe why you are nominating this candidate for the specified award above
(Required.)
7.
Additional information (if available)
Online Bio/URL
LinkedIn Profile
Twitter Handle
Facebook Profile
Instagram Profile
*
8.
Your full name
(Required.)
First Name
Last Name
*
9.
Your email address
(Required.)
Email Address
Confirm Email Address
*
10.
May we share with the nominee who submitted the nomination?
(Required.)
Yes
No
Nominees will be notified via email that they have been nominated for the Florida Women in Insurance Leadership Award and their nomination will be made public.