2018 Waco Chamber ATHENA Leadership Award Nomination Form
ATHENA LEADERSHIP AWARD NOMINATION INSTRUCTIONS:

The ATHENA Leadership Award celebrates exemplary leadership and is reflective of a quote by Plato: What is honored in a country will be cultivated there. Over 7,000 Recipients have been honored with the ATHENA Leadership Award since the program’s inception in 1982.

Presented to leaders across professional sectors, the ATHENA Leadership Award’s rich history, international scope and focus on mentorship distinguish it as one of the most prestigious leadership awards one can receive.

THE CRITERIA
ATHENA Leadership Award Nominees must meet each of the following three criteria:
• Demonstrate excellence, creativity and initiative in their business or profession
• Provide valuable service to improve the quality of life for others in their community
• Actively assist women in achieving their full leadership potential

QUALIFICATIONS
• ATHENA Leadership Award Nominees may represent either the profit or not-for-profit sector.
• Previous ATHENA Leadership Award Recipients are not eligible for nomination, however past nominees may be nominated again.
• There is no minimum or maximum age qualification that must be met by ATHENA Leadership Award Nominees.

COMPLETING THE FORM
• You are encouraged to work closely with your nominee to complete their nomination.
• Nominations for the ATHENA Leadership Award must be submitted using this nomination form and format.
• You may include supporting documents (articles, testimonials, etc) with your completed nomination form.
• Deadline for submission: Wednesday, Aug. 29, 2018.

THE PROCESS
A Selection Committee, made up of a diverse group of community leaders, will review all nominations and select the ATHENA Leadership Award Recipient. The Recipient will be announced on Thursday, Nov. 1, 2018 at the Leading Waco Women's Summit.

QUESTIONS
Contact: Amanda Haygood at 254-757-5611 or ahaygood@wacochamber.com.

Nominator: (Your Information) *
Name:
Your answer
Company/Organization: *
Your answer
Full Business Address: *
Your answer
Phone: *
Your answer
Nominee Name: *
Name:
Your answer
Full Home Address: *
Your answer
Phone: *
Your answer
Email: *
Your answer
Company/Organization: *
Your answer
Title/Position: *
Your answer
Full Business Address: *
Your answer
Work Phone: *
Your answer
I. PROFESSIONAL LEADERSHIP: *
Provide specific examples of how the nominee has demonstrated excellence, creativity and initiative in their business or profession.
Your answer
II. COMMUNITY LEADERSHIP: *
Provide specific examples of how the nominee provides valuable service to improve the quality of life for others in their community. Include type and length of service in civic and service organizations and initiatives.
Your answer
III. PERSONAL LEADERSHIP/ MENTORSHIP: *
Provide specific examples of how the nominee has actively assisted women in achieving their full leadership potential, and/or demonstrated support for their personal and professional advancement.
Your answer
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 women leaders.
Your answer
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