Every day across the public technology sector, women leaders in Government and Industry are making an IMPACT. They provide strong
leadership and are mentoring the next generation of stars, all while
transforming the way innovative and mission-focused tech is developed and
implemented.

FORUM and G2Xchange are excited to celebrate and honor these
vanguards at the 9th Annual Leading for IMPACT Women in Leadership
Conference and Awards on Friday, October 17th.

NOW ACCEPTING NOMINATIONS!

Please complete each of the questions below for your nominee.

During the selection process, points will be assigned to each nominee based
on the listed criteria. Please try to include the best response for each
question that applies to your nominee.

Nominations are open to women leaders in the Health IT, Federal Civilian,
and Defense sectors.

Nominations close at 5pm on Tuesday, August 5th.

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* 1. Nominees may be individuals from the Government, or Industry, in the Health IT, Federal Civilian, or Defense sectors. Please include your Nominee's name and information below.

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* 2. The nominee is specifically driving, guiding and mentoring the Industry through the following actions (check all that apply):

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* 3. Based on your responses above, please explain how the nominee is meeting or exceeding performance expectations and achieving results for the actions you selected.   
(Please use 100 words or less.)

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* 4. Provide a compelling statement about this individual and/or the initiative they are leading. (Please use 100 words or less.)

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* 5. Please enter your contact information below. (The nomination will remain anonymous):

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