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The "Standing O" Nomination Form
Complete the form below to submit your nomination.
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Nominator Information
Please complete the following section with your personal information.
Name
*
Your First and Last Name
Your answer
Business
Place of Employment or Business Owned
Your answer
Phone
*
Best Number for Us to Reach You
Your answer
This Phone is a...
*
Choose
Business Number
Home Number
Mobile Number
Email
*
Best Email for Us to Reach You
Your answer
I would like to receive The Zen Speaker's newsletter and other informational emails.
*
Choose
Yes
No
Nominee Information
Please complete the following section with your nominee's information.
Name
*
First and Last Name of the Person You're Nominating
Your answer
Phone
*
Best Number for Us to Reach Your Nominee
Your answer
This Phone is a...
*
Choose
Business Number
Home Number
Mobile Number
Unknown
Nominee Email
*
Best Email for Us to Reach Your Nominee
Your answer
Relationship to Nominator
*
Your Relationship to Your Nominee
Employee
Friend
National Figure/Celebrity/Politician
Professional Speaker
Other:
Date of Presentation
*
Enter as MM/YY
Your answer
Presentation Type
*
Select the Best Fit or Complete Other
Keynote Speech
Training Session
Award Acceptance
Sponsor Moment
Introduction
Other:
Required
Reason Nominee Should be Recognized with a "Standing O" Award
*
Please include a brief paragraph describing the presentation and outstanding skills demonstrated.
Your answer
If My Nominee is Selected for a "Standing O" Award...
Please review and complete prior to selecting submit.
The Zen Speaker may contact me for a quote or additional information about the nominee/winner.
*
Choose
Yes
No
N/A
The Zen Speaker may use my name when contacting the nominee to confirm acceptance
*
Choose
Yes
No
N/A
The Zen Speaker may acknowledge that I submitted the nomination in promotional materials
*
(This Includes the Use of My Name in Any Press/Media Releases and Website Publications.)
Choose
Yes- Use My Name & Business
Yes- Use My Name Only
Yes- Use My Business Only
No- Do Not Use My Name or Business
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