Community Minded Business Woman Award

Please complete the following fields and attach the completed application for your nominee with their signed consent.

Name
First Last
Phone (Business)
Mobile
Company Name / Charitable Organisation
Capacity of Role
(volunteer, board, fundraising, etc)
Email
Company / Organisation Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Awards Selection Critera
Selection Criteria Response*
Please address each of the selection criteria. 350 words per topic.
Accepted file types: pdf, Max. file size: 2 MB.
Nominee General Consent Form*
Accepted file types: pdf, Max. file size: 2 MB.
Referees
Please provide your (nominator) details and an additional referee. The reference may be used by the Judging Panel should any further information be required. Reference check information is confidential.
NOMINATOR (person completing the nomination)
Name
Position
Phone
Email
REFEREE
Name
Position
Phone
Email

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Awards Selection Critera