Key Executive Nomination The following survey consists of 10 short questions and takes approximately 5 minutes to complete. Question Title * 1. Nominee's Name Question Title * 2. Nominee's State (NY, CA, TX, etc. ) or if in Major Metro Area (i.e. NYC, LA, Dallas, DC, etc.) Question Title * 3. Nominee's Company Question Title * 4. Nominee's Position at Company Question Title * 5. Nominee's Sector Software Healthcare Technology Financial Technology Consumer Technology Media Other (please specify) Next