ATHENA Nomination Form

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

ATHENA AWARD NOMINATION FORM

Date___________________________
NOMINEE
Name_________________________________________________________________
Home
Address_______________________________________________________________
City _______________________________ State _______________ Zip Code_______
Telephone_________________________E-Mail______________________________
Company/Organization
Name_________________________________________________________________
Title/Position___________________________________________________________
Business
Address_______________________________________________________________
City ________________________________ State ______________ Zip Code_______
Work phone ____________________ Business E-Mail__________________________
NOMINATOR
Name_________________________________________________________________
Company/Organization
Name_________________________________________________________________
Business
Address______________________________________________________________
City_________________________________ State ____________Zip Code_________
Work phone _____________________________ Cell__________________________
E-Mail______________________________________

1.

Professional Leadership
Provide specific Examples of how the nominee has demonstrated excellence, creativity
and initiative in their business or profession

2.

Community Service
List local, state, national and international level participation. Include length of service
and offices held in civic and service organizations such as charitable activities, political
pursuits, religious groups, chambers of commerce, merchants associations, etc.

3.

Personal Leadership
Provide specific examples of how the nominee has assisted women in reaching their
full leadership potential, and/or demonstrated support for their professional
advancement.

4.

Additional Information Pertaining To Criteria


Include any additional information you feel is important for consideration of your
nominee. List awards honors received, publications or articles supporting services to
their profession, industry or community

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy