Circle Of Excellence Nomination Form
Please answer all questions fully and accurately
Email address *
Nominator's Information
Nominator's Name *
Your answer
Nominator's Email
Your answer
Nominator's Phone Number *
Your answer
Nominee's Information
Nominee's Name *
Your answer
Nominee's Phone Number *
Your answer
Nominee's Title *
Your answer
Nominee's Organization *
Your answer
Nominee's Email Address
Your answer
Provide a thorough and complete description of how the nominee meets or exceeds the characteristics sought for each of the following criterion. Be as specific as possible for each question and please give examples.
Criteria #1: How does the nominee support and promote women In business within the Central Valley? *
Your answer
Criteria #2 How does the nominee demonstrate strong and growing commitment to the community though her time, talent and/or resources? *
Your answer
Criteria #3 How does the nominee demonstrate exceptional skills as a role model or mentor of women and girls through advocacy, community service and leadership? *
Your answer
Criteria #4 How has the nominee achieved professional excellence in her field? *
Your answer
What do you hope to see your Nominee get from the Circle of Excellence Entrepreneurship Training Program? *
Your answer
I attest that my nominee has: (check all that apply)
A copy of your responses will be emailed to the address you provided.
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