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Email address
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Nominator Contact Information
Nominator Name
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Nominator Company/Organization
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Nominator Business Address
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Nominator Phone Number
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Nominator Email Address
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Nominee Contact Information
Nominee Name
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Nominee Company/Organization
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Nominee Home Address
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Nominee Business Address
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Nominee Phone Number
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Nominee Email Address
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PROFESSIONAL LEADERSHIP
Provide specific examples of how the organization encourages female employees to achieve their full leadership potential.
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ORGANIZATIONAL CULTURE
Provide specific examples of how the nominee provides or supports leadership development opportunities and initiatives for women and/or girls in the community.
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COMMUNITY LEADERSHIP
Provide specific examples of how the nominee has actively assisted individuals in achieving their full leadership potential and/or demonstrated support for their personal and professional advancement.
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ADDITIONAL INFORMATION PERTAINING TO CRITERIA
Include any additional information you feel is important for consideration of your nominee. Include awards, honors, publications, articles and/or testimonials that demonstrate service to their profession, community, and most importantly, aspiring and established leaders. (upload any supporting documents here)
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