The 2019 Spectrum Circle Awards - Nomination Form
Nomination Form for the 2019 Spectrum Circle Awards for Innovative Women in Business, Tech and Media. Nominees demonstrated abilities should include, but are not limited to, creativity, innovation, leadership skills and contributions to her business or organization. The nominee must be a female professional who lives in the Washington, DC metropolitan area within a 250 mile radius. The nominee must email a resume or bio, headshot (or photo) and pay the $10 nomination fee to be considered for the award. Please pay the nomination fee via pay pal ( or check. (Make check payable to The Spectrum Circle.) Nominations close on December 1, 2018 at 11:59 pm. (Note: The Millennial on the Rise nominee must be 30 or under on or before March 15, 2019.)
Email address *
Your Name *
How did you hear about the awards luncheon? *
The 2019 Spectrum Circle Awards Luncheon
Nominee's Name *
Nominee's Email *
Nominee's Phone Number (numbers only including area code) *
Please give phone number that is convenient for contact.
Which category of award are you applying for? *
What key characteristic's make the nominee a innovative woman in her field? *
Provide key examples of how the nominee has demonstrated support for the advancement of women? *
How many years of experience does the nominee have in her chosen field? *
Nominee's Linked In Url (cut and paste Linked In url)
Which state does the nominee reside? *
Nominee's Instagram Account
Nominee's Twitter Account
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Additional Terms