Nominations Form Step 1 of 3 – Nominee Information 33% Nominee's Name(Required) First Middle or Maiden Name Last Nominee's Company Name(Required) Nominee's Title(Required) Nominee's Work Email(Required) Nominee's Personal Email Nominee's Business PhoneNominee's Personal PhoneNominee's City Nominee's Date of Birth Year Month Day Nominee's LinkedIn Nominee's Industry(Required)Health care and life sciencesEnergy and agricultureHospitality, restaurants, entertainmentFinancial services, including banking, venture capital, accounting and insuranceTechnology and mediaManufacturing, logistics and transportationReal estate, including retail, construction, architecture and designLawEducation, not-for-profits and artsPhilanthropy and civic leadership, including economic developmentOther/not sure What makes this individual influential?(Required)Is the person influential in a particular industry, in a community, statewide or in some other way?Please list the nominee’s past positions, companies, boards or other pertinent information:Is this individual involved in the community, other than his or her career?Tell us anything else you think is important.Please attach resumes, letters or media that might be helpful as one PDF.Accepted file types: pdf, Max. file size: 100 MB. Nominator's Name(Required) First Last Nominator's Email(Required) Nominator's Phone(Required)Relationship to Nominee(Required)
