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2025 Women in Leadership Awards Nomination Form

Which sector are you nominating for? (please check the box for the sector)(Required)

Nonprofit

Private

Public

Emerging Leader

Nominee Information:(Required)

First Name Last Name

Email(Required)

Professional title:(Required)

Business Name:(Required)

Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Office phone number:(Required)

Cell phone number:(Required)

Nominator’s Information:(Required)

First Name Last Name

Email(Required)

Phone(Required)

How has the nominee personified the EWPBF’s mission and values in her personal, professional, and volunteer endeavors?(Required)

Please limit each response to 300 words. Note this information may be used publicly.

Give 1-2 examples how the nominee has inspired women to lead and succeed and/or supported the advancement for the professional or personal advancement of women?(Required)

Please limit each response to 300 words. Note this information may be used publicly.

Describe the nominee’s commitment to the community through service (board service, any awards in professional and/or volunteer services) within the past 10 years in PBC. Include participation level, length of service, offices held, awards/honors. May include charitable, civic, political, and/or religious organizations.(Required)

Please limit each response to 300 words. Note this information may be used publicly.

What additional factors make the nominee deserving of the WILA award?(Required)

Please limit each response to 300 words. Note this information may be used publicly.

Please describe the organization or organizations the nominee has led. Please indicate the size of the revenue and the number employed by the organization(s).(Required)

Please limit each response to 300 words. Note this information may be used publicly.

In addition to the above please submit one paragraph that summarizes the nominee’s overall excellence in professional leadership.(Required)

Please limit each response to 300 words. Note this information may be used publicly.