2025-26 CWEF New Member Nomination Form: For Membership Criteria, Please Click Here! Question Title * 1. Nominator's Name (Yours): Question Title * 2. Nominee's Full Name: Question Title * 3. Nominee's Professional Information: Company: Title: Question Title * 4. Nominee Reports to: Name: Title: Question Title * 5. Nominee Contact Information: Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address * Phone Number * Question Title * 6. Please Indicate Nominee's Functional Specialty: Accounting/Finance Advertising/Pub. Rel./Media/Marketing General Management Human Resources Information Technology Law Operations Purchasing/Supply Chain Research & Development Sales Security Technical/Engineering Other (please specify) Question Title * 7. Please Indicate Their Industry: Advertising/PR Construction Consulting/Professional Services Education Financial Services Government Health Care Insurance Law Manufacturing Media Nonprofit Retail Real Estate Technology Transportation Utility Other (please specify) Question Title * 8. Answer Only If Your Nominee is For-Profit (Public and Private) Businesses and Hospital Systems: A. Very large enterprises (annual revenues >$20 billion)• Occupy an executive position within two reporting positions from the CEO orits equivalent B. Large enterprises (annual revenues $1 billion-$20 billion)• Occupy an executive position within one reporting position from the CEO orits equivalent C. Midsize enterprises (annual revenues $50 million-$1 billion)• Direct the business as CEO, president or its equivalent D. Own privately-held business (annual revenues of >$5 million)• Management of business as CEO, president or its equivalent E. Employed by a professional services firm (law, accounting,consulting, investment management, etc.) (annual revenues of >$25 million)• Partners or equivalent for at least 5 years• Leader of the firm or leader of a significant line of business within the firm Question Title * 9. Answer Only if your Nominee is Not-For-Profit: For candidatesemployed in the not-for-profit sector,includingeducationalinstitutions, womenwho:• Direct the enterprise asCEO, president,executive director, or itsequivalent• Oversee a budget of >$5million• At least 5 years ofleadership experience Question Title * 10. Why do you recommend this person for membership in CWEF? Question Title * 11. Nominee's Personal Information (Optional): AGE 35 and under 36-45 46-55 56-65 66+ Question Title * 12. Nominee's Personal Information (Optional): Ethnicity American Indian/Alaskan Asian/Pacific Island African American Hispanic/Latin Other Question Title * 13. List current and past corporate and non-profit boards and civic involvement (including offices held). Question Title * 14. List awards and recognition they have received. Question Title * 15. List hobbies or personal interests. Question Title * 16. Anything else you would like to share. Question Title * 17. PLEASE INCLUDE THEIR CURRICULAVITAE OR PERSONAL BIO WITH YOUR APPLICATION SUBMISSION. You may copy the information into the section below or email admin@mycwef.com:**I can’t get this without telling her what I’m doing. Here’s a link to her company profile: Question Title * 18. Privacy Policy: CWEF understands that some of the information you may be asked to provide to CWEF is confidential. CWEF will not disclose the information provided on this questionnaire to any third party. The Board and the Membership Committee will only use such information for internal CWEF purposes. Members will be asked from time to time to update information. CWEF will maintain only the most current information. Done