Honoree questionnaire Congratulations! We’re so pleased that you are part of IBJ Media’s 2024 Indiana 250, a list of the most influential people in Indiana.IBJ Media will publish a book in July that includes short profiles and photos of everyone on the list. And throughout the year, we will also publish information about some of the Indiana 250 honorees in IBJ.This form will help us create your profile. Not all of fields are required (in fact, most aren’t), but they are helpful in helping us develop a short profile of you. In addition, please upload a high-quality head shot that is in color and in jpeg, jpg, pdf or png format. Photos should be no less than 1 mb and no more than 20 mb.We will NOT be publishing your phone number, mailing address and email address. That information is so that we can contact you and mail you an invitation to the event on July 17.First name (as you would like it printed)(Required) Last name (as you would like it printed)(Required) Organization (or retired if that's appropriate)(Required) Title(Required) Email address(Required) Contact phone number(Required) Address (where you'd like your invitation sent)(Required) City(Required) State(Required) Zip(Required) Please upload a high-quality head shot that is in color and in jpeg, jpg, pdf or png format. Photos should be no less than at least 1 mb and no more than 20 mb.(Required) Drop files here or Select files Accepted file types: jpg, png, pdf, jepg, Max. file size: 20 MB. City where you live Time with organization Briefly describe your responsibilities(Required)Brief bio: Tell us in 250 words or less the most important things people should know about you!(Required)If you would like please upload a resume or CV.Accepted file types: pdf, doc, Max. file size: 10 MB.Please list any other companies or organizations you own, lead or have co-founded.Tell us about 2-3 notable achievements of the past couple of years.EducationPrevious key positions or activities:Please give us the name of a person — such as an administrative assistant or PR representative — we can contact with follow-up questions about this form or the upcoming event. You can list yourself if you prefer.(Required) Email for the person listed above(Required) Phone number for person listed above(Required) Please answer 5-7 of the following. Feel free to answer more. Some of these answers will be used in our Indiana 250 book and could be used in IBJ. What was your first job (when you were a teen or earlier)? And what did it teach you?If you could pick any other job, what would you do?Is there a failure — something you really stumbled on or flubbed — that you learned from?What is your favorite thing about being a leader?Tell us something surprising about you.Other than your parents, who do you admire most? And why?Other than your phone, what is your favorite device or gadget? And why?What's the toughest challenge you've overcome?What have you learned about leading you'd like to pass on?If you were a baseball player, what would be your walkup song (the song played over the speaker as you walked up to the plate)?What advice would you give a young person starting out in his or her career?If you could take a break from your career, what would be your sabbatical topic?What is something you'd like to change about Indiana?If you were governor, what's one thing you would do to improve Indiana?What is your favorite civic contribution you've made?What do you worry about?Tell us about your pets.
