Member Spotlight Nomination Form: June 2021

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* Is the individual being nominated a Women@Work member?

Yes

No

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* Your Contact Information

First Name

Last Name

Company

Email Address

Phone Number

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* Nominee Information

First Name

Last Name

Email Address

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* Profession

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* Company

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* Title/Role

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* What comes to mind first when you think of this individual?

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* Why are you nominating this individual?

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* Qualities

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* Achievements/Projects

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* Skills

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* Is there anything else we should know about this individual?

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* Headshot (if applicable)

PNG, JPG, JPEG file types only.