EmailMeForm
I. CONTACT INFORMATION
YOUR CONTACT INFORMATION (PERSON COMPLETING THE FORM)
Name
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First
Last
Title
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Company
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Email Address
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Phone
*
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NOMINEE CONTACT INFORMATION
Nominee Name
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First
Last
Nominee Title
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Nominee Company
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Nominee Email
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Nominee Phone
*
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Nominee Start Date of Employment (at your company)
Month/Day/Year
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MM
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DD
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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 + INNOVATION - Example job titles and disciplines: Software Development/Engineering, Security Operations, Product Development/Management, Technical Support, UI/UX Design/Development, Data Science, Analytics
TECH SALES + MARKETING -Example job titles and disciplines: Sales, Business Development, Revenue & Growth Management, Customer/Client Success, Communications, Marketing, Content Marketing, Events
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?
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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.
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Include most recent professional accomplishments, major projects, awards, etc.
HOW DOES THE NOMINEE’S ENERGY AND ATTITUDE SET THEM APART?
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HOW DOES THE NOMINEE INVEST IN AND MAKE A DIFFERENCE IN THE COMMUNITY?
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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.
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PROVIDE A 100-WORD SUPERVISOR TESTIMONIAL FOR THE NOMINEE.
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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)
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Supporting Materials (Optional)
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