2017 40 Women To Watch Over 40 Application
Nominations are closed. Check back for winners in late June.

We think it is time to put an end to the idea that over 40 is past your prime. Here we celebrate the women who are reinventing, disrupting and making an impact.

1a. Is this nomination for yourself or for someone you know? If it is for yourself, don't be shy. We love to receive self-nominations! If you are nominating yourself, please write your answers in third person.
1b. If you are nominating someone else please add your email here in case there are any questions with the application. Thanks!
Your answer
2. First Name and Last Name of Nominee
Your answer
3. Email Address for Nominee
Your answer
4. What is the nominee's company / organization, title and type of industry / area of business?
Your answer
5. Innovation In Field of Work: How is this person disrupting professionally in business, entrepreneurship, social good, science, education, healthcare, creative arts, or politics? Are they creating growth, changing courses, developing new to the world ideas, products or services?
Your answer
6. Impact: What are the results, rewards, actions, metrics, awards and/or powerful long-term goal the nominee has made progress towards?
Your answer
7. Role Model: How is this person a positive role model to younger women? How are they innovating around work/life issues and promoting women for leadership whether in business, board rooms or building diverse communities? Are the creating new models or mentorship or sponsorship or advocating for other women?
Your answer
8. Personal Reinvention/Momentum: How is this person disrupting themselves? Are they harnessing the power of their experiences and re-applying, re-assessing and creating a new path? Are they on an upward trend with further great achievements in their future?
Your answer
9. Please list any links to official bio, professional or personal websites, blog addresses, or any additional relevant affiliations (if any).
Your answer
10. What is the nominee's LinkedIn address?
Your answer
11. List any relevant social media links for the nominee (Twitter, Facebook, Instagram, etc):
Your answer
Thank you for your nomination! Here's a sample post if you want to share your nomination on Facebook or Twitter:
I just nominated PERSON'S NAME for Forty Women To Watch Over 40. Nominate someone who inspires you: http://fortyover40.com/nominate/ @fortyover40
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms