EmailMe Form - 2024 NEXT TECH AWARDS: NOMINATION FORM

I. CONTACT INFORMATION

YOUR CONTACT INFORMATION (PERSON NOMINATING AND COMPLETING THE FORM)

Name *

First Last

Title *

Company *

Email Address *

Phone *

### - ### - ####

NOMINEE CONTACT INFORMATION

Nominee Name *

First Last

Nominee Title *

Nominee Company *

Nominee Email *

Nominee Phone *

### - ### - ####

Nominee Start Date of Employment (at your company)
Month/Day/Year *

MM / DD / YYYY

II. CATEGORY

CHOOSE A NEXT TECH AWARD CATEGORY
NOTE: Tech Companies may nominate an individual in any of the three categories. Tech-Enabled Companies and Organization (have a core business outside of tech) should only nominate an individual in the TECH + INNOVATION category.

Categories:

TECH SALES + MARKETING -Example job titles and disciplines: Sales, Business Development, Revenue & Growth Management, Customer/Client Success, Communications, Marketing, Content Marketing, Events

TECH + INNOVATION - Example job titles and disciplines: Software Development/Engineering, Security Operations, Product Development/Management, Technical Support, UI/UX Design/Development, Data Science, Analytics

TECH PROFESSIONAL SERVICES - Example job titles and disciplines: Human Resources, Finance, Audit & Risk Management, Operations, Project Management, Solutions Consulting, Strategic Planning

III. SUPPORTING INFORMATION

WHY DOES THE NOMINEE DESERVE TO BE RECOGNIZED? *

This question should be answered from the perspective of the company’s management team. Consider why you are choosing this individual to receive recognition. Describe what makes the nominee a star performer and a committed team player who goes above and beyond the 9-to-5 by supporting your company, the tech ecosystem, and the greater community.

ADDITIONAL NOMINEE INFORMATION

Note: We recommend requesting information directly from the nominee as necessary.

DESCRIBE THE NOMINEE’S PROFESSIONAL CONTRIBUTIONS. *

Include most recent professional accomplishments, major projects, awards, etc.

HOW DOES THE NOMINEE’S ENERGY AND ATTITUDE SET THEM APART? *

HOW DOES THE NOMINEE INVEST IN AND MAKE A DIFFERENCE IN THE COMMUNITY? *

What is this nominee’s impact on the tech community, civic community, family, schools, nonprofit organizations, and/or diversity, equity & inclusion activities?

VI. SHORT BIO + TESTIMONIAL

PROVIDE A 100-WORD BIOGRAPHY FOR THE NOMINEE. *

PROVIDE A 100-WORD SUPERVISOR TESTIMONIAL FOR THE NOMINEE. *

Note: Please be sure to include the name and title of the person providing the testimonial, if it is not the person completing the form.

V. ATTACHMENTS

Headshot (Requested)

Supporting Materials (Optional)