Nominate a Woman of Influence

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Nominated Person Information

CBJ's Women of Influence Awards celebrate community leaders who have made a positive impact in their community. Please fill out the following information about the person you are nominating for this award.

Are you nominating a Woman of Influence or an Emerging Women of Influence?(Required)

An Emerging Woman of Influence is an up-and-coming female leader age 35 and younger who has achieved career success and recognition, and is poised to take on a larger, community-wide role.

Name(Required)

First Last

Maiden or former name

Job Title(Required)

Company Name(Required)

Company Phone(Required)

Company Address(Required)

Street Address City State ZIP Code

City of Residence(Required)

Birthdate(Required)

Hometown(Required)

Email(Required)

Recent Resumé or Bio(Required)

Accepted file types: doc, docx, txt, rtf, pdf, Max. file size: 1 MB.

Statement of Achievements(Required)

Accepted file types: doc, docx, txt, rtf, pdf, Max. file size: 1 MB.

Statement of Achievement - High-level summary of achievements or impact, i.e. board or committee involvement, volunteer work, impact on a company or organization, mentorship, started/founded organization, etc. - can be in paragraph or list format.

Letters of Recommendation(Required)

Accepted file types: doc, docx, txt, rtf, pdf, Max. file size: 10 MB.

Letters of Recommendation - Please combine multiple letters into one document.

Nominator's Information

Please include your information as the nominator so our team can contact you if we need more information or to notify you if your nominee has been selected.

Your Name(Required)

First Last

Your Company / Organization(Required)

Relation to Nominee(Required)

Example: Manager/direct report, mentee/mentor, friend, coworker, spouse/partner, other relative, etc.

Your Email(Required)

Your Phone Number(Required)

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