Women's Leadership Accelerator Program Nomination Form Question Title * 1. Your Name Question Title * 2. Your Email Address Question Title * 3. Name of Nominee Question Title * 4. Nominee's Email Address Question Title * 5. Nominee’s Company Name Question Title * 6. Relationship to Nominee: Supervisor/Peer/Self/Other (please specify) Question Title * 7. Nominee’s Job Title Question Title * 8. How long has the nominee been in manufacturing? Question Title * 9. Why are you nominating this person? What makes her a great candidate for this program? Question Title * 10. Does the nominee currently have direct reports or previous management experience? Question Title * 11. Does the nominee have the flexibility/bandwidth to:- attend monthly in-person sessions- complete coursework (~4 hours per month) Yes No Question Title * 12. Is the individual aware of this nomination? Yes No Question Title * 13. Please provide nominee’s manager’s email *If accepted into the program via the nomination process, a letter will be sent to the nominee and her direct supervisor to confirm commitment to allocate her time to attend sessions, etc. Done