Nominate a woman in tech
Name of nominee *
How can we contact the nominee? (Email, phone number, Twitter handle, etc) *
What industry does the nominee work in? *
What company does the nominee work for? *
What is her job title? *
For the purposes of this story, please confirm that your nominee is over the age of 50.
Clear selection
Why are you nominating this person for our story?
Please list this person's accomplishments in her field.
If you would like to be interviewed for this story, please give your name, company, title and email address. Thank you!
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy