2021 Board Leadership Awards

Nomination Form

Corporate Board Member’s 3rd annual Board Leadership Awards recognize outstanding individuals and boards who go beyond the basic requirements of governance, regulation, and compliance, aiming for and obtaining excellence and serving as models for other companies and individuals to emulate. The awards underscore the role that corporate governance and effective board leadership plays in driving a company’s success and a board’s contribution to long-term value.

Finalists are invited to attend Corporate Board Member’s 2021 Boardroom Summit, at which the awards recognition celebration will be hosted in September in New York.

For any questions on filling out the survey, please refer to the FAQ section on our website: BoardMember.com/LeadershipAwards

Question Title

* 1. Award Category (select all that apply)

Independent Director of the Year

Courage in the Boardroom

Greatest Impact on Corporate Boards

Question Title

* 2. Contact Information of Individual Submitting Nomination (this person will be the main point of contact for the award organizers)

Name

Job Title

Company

Phone Number

Email Address

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* 3. Information on Individual/Company Being Nominated

Name or Company Board

Title (if applicable)

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Phone Number

Email Address

Question Title

* 4. Contact Information for Nominee (if different from person submitting nomination)

Name

Phone Number

Email Address

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* 5. Executive Summary of Qualifications for Independent Director of the Year Award (maximum 500 words response)

Question Title

* 6. Executive Summary of Qualifications for Courage in the Boardroom Award (maximum 500 words response)

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* 7. Executive Summary of Qualifications for Greatest Impact on Corporate Boards Award (maximum 500 words response)

If you have supplemental documents you would like to submit to support your nomination, please send to BoardAwards@chiefexecutive.net. Thank you for your nomination!