NOMINATION FOR THE YEAR 2027

Top 30 Nomination Form

This is your opportunity to recognize and celebrate individuals who have demonstrated exceptional achievements, leadership, dedication, and impact within their community.

Your Information

Person who is filling out this form.

Name

First

Last

Phone

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Nominee’s Information

Please provide information for the person you are nominating.

Nominee’s Name (As it would appear in print)

First

Last

Name Pronunciation

Nominee’s Title

Cell Number

Nominee’s Office Phone

Nominee’s Email Address

Nominee’s Company/Organization

How many years in business/industry/profession/practicing

Website URL

Company Address

Address Line 1

Address Line 2

City

State

Zip Code

Social Media Links/Handles

1 URL per line

Nominee’s Bio (if available)

Write or cut/paste the Nominee’s bio here or use the next field if you would like to upload a file

Upload Bio (if available)

Drag & Drop Files, Choose Files to Upload

Upload Photo (if available)

Drag & Drop Files, Choose Files to Upload

Reason for nomination

Top 30 Nomination Form

Your Information

Nominee’s Information

She's Got Influence

Helpful Links

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