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Nominee's First Name
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Nominee's Maiden Name (if applicable)
Nominee's Last Name
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Nominee's Phone Number
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Nominee's Email Address
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Nominee's Job Title
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Nominee's Place of Employment
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Describe the nominee’s job responsibilities. Are there past projects, milestones or achievements that demonstrate her leadership skills?
In what ways has the nominee influenced her organization and industry?
How is the nominee involved in her community?
What makes the nominee stand out from her peers?
What makes the nominee a powerful woman?
What else can you tell us about the nominee that will help us make our decision?
Your First Name
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Your Last Name
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Your Phone Number
Your Email Address
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Your Job Title
Your Place of Employment
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