Nomination Form

2025 Nomination Form

    Name of Nominee

    First Name

    Last Name

    Nominee Email

    Email

    Confirm Nonimee Email

    Nominee Location (Country, Province or City)

    Nominee Company or Business Name

    Nominee Title/Position

    Company Website

    Nominee's Linkedin Profile

    Nominee's Instagram Profile (Optional)

    Nominee Headshot

    Upload a professional headshot/picture (JPEG, high resolution)

    Why Are You Nominating This Person?

    Nominator Information

    Name of Nominator

    First Name

    Last Name

    Nominator Email

    Email

    Confirm Nominator Email

    May We Share Who Nominated The Honoree?