Theme: Leadership - Inspiring Influence
Date: March 19, 2013
Trade Show:  10 a.m. – 2 p.m.
Awards Luncheon:  12:00 – 1:30
Place: EverBank Field Touch Down Club West
Speaker: Vera Jones - http://www.verasvoiceworks.com/about_us.html

PLEASE COMPLETE AND RETURN
THIS NOMINATION FORM BY E-MAIL TO: 

Ruth Ann Hepler, Awards Selection Chair
ruthannhepler@bellsouth.net
(904) 923-1616  
(click here to download the pdf)
NOMINATION DEADLINE January 15, 2013!!!   

OR COMPLETE THE ONLINE FORM BELOW

PLEASE SELECT ONE CATEGORY FOR CONSIDERATION: 

    ESTABLISHED ENTREPRENEUR of the Year
DEFINED AS:  A person who organizes, operates, and assumes the risk for a business venture.  We are seeking candidates who have been in business at least 6 years, including franchisees. Candidates must own at least 25% of the business and be fully engaged and active in the day-to-day operations of the business.

   UP & COMING ENTREPRENEUR of the Year
DEFINED AS:  A person who organizes, operates, and assumes the risk for a business venture. We are seeking candidates who have been in business between 2 and 5 years, including franchisees. Candidates must own at least 25% of the business and be fully engaged and active in the day-to-day operations of the business.
           
    CORPORATE LEADER of the Year
We are seeking candidates who do not hold a majority stake in the ownership of a company.  This category is specifically for women leaders who have made significant contributions to women in business in our community and/or NE Florida within the last 5 years.  Nonprofit organizations are included in this category.

    PIONEER of the Year
We are seeking candidates who have blazed the way by making significant, long-term contributions to the role of women business owners in our community and/or NE Florida and who have incurred significant business obstacles along the way.  Candidates may come from any sector of the local business community, including nonprofit organizations.

Nominee’s Name:

Company:            

Position / Title:   

% Ownership:                Years in Business: 

Mailing Address:  

City / State / Zip:

Daytime Phone:   

E-mail Address:   

Website:              

NOMINATED BY     OR  SELF NOMINATION

 

If you nominate someone else, she must be aware of and agree to the nomination.
           
Daytime Phone:        Nighttime Phone:
           
Email:

 

Describe the business.

Describe the candidate’s primary responsibilities.

Indicate any awards or recognition the candidate has received and when.

How does the candidate meet the criteria for the category for which she is nominated?

What types of business adversity has the candidate overcome and how?

Explain how the candidate (or the business) has been innovative in terms of product, service, or business operations.

How is the candidate a role model to other women in the category for which she is nominated and/or in her community?

Why do you think the candidate should receive this award?

List two people who can provide personal and/or professional references.
(Provide names only. Please do not include any news clippings, letters of reference, or other material.)

Name:    

Company:  

Phone:

Name:    

Company:   

Phone:

 
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