Womenetics

2013 Georgia Nomination Form

Deadline: January 18, 2013

The Womenetics' POW! Awards annually honor purposeful women and recognize female leaders of extraordinary intention and impact. These are the key "forces of nature" who change the landscape of business or bring a business approach to nonprofits - women who trigger change from within as they challenge the status quo both in business and society. Fresh ideas and the ability to inspire put them at the forefront. These women are about dynamic growth; they transform vision into the language of action. They surmount challenges, break down barriers, spark innovation and attain success in the workplace and the community. They bring the "POW!" factor to everything they do.

Tell us about the woman you know who positively challenges those around her and instills passion, conviction and confidence in others. Today's purposeful woman finds creative ways to deal with obstacles and weave together key stakeholders. She's known for her sustained abilities to lead and adapt; innovate and create; collaborate, inspire and advance.

She is shifting the organization and, with it, our world.

At this fourth annual awards event on April 23, 2013, Womenetics will recognize and celebrate purposeful women in Georgia who have stirred the status quo and advanced their organizations. We invite you to recommend women of extraordinary intention and impact you think deserve to be honored.

Eligibility Criteria

Nominees must work and reside in the state of Georgia.
Nominees must be available to be honored in person at the POW! Awards luncheon on Tuesday, April 23, 2013 at the Georgia Aquarium in Atlanta.
Nomination forms for this award and nominee's CV must be completed and received by Friday, January 18, 2013.
In addition to the nominator, two endorsers are required to substantiate the nomination.
Each Nominee will be evaluated for the following criteria:
1. Business Acumen
2. Demonstrated leadership ability – cite specific examples how she has positively impacted others
3. Documented personal impact in workplace and/or community
4. Record of achievement that demonstrates intentionality and goal setting
5. Unique personal qualities that distinguish the nominee

Instructions to Nominators

Please answer each question in 250 words or less.
Only applications that are thoroughly and thoughtfully completed will be considered. Anecdotes and quantitative information give the best understanding as to how your nominee is a purposeful woman.
Submit completed nomination form electronically by the Friday, January 18, 2013 deadline.
Please email additional information or materials to support this nomination to sproft@womenetics.com.
Any questions regarding the awards should be directed to Stephanie Proft at (404) 816-7224 or sproft@womenetics.com.

Nomination Form

Note: Do not hit the "submit" button until all required fields are complete or your data may be lost. We encourage you to prepare and save your answers in a separate document on your computer prior to filling-in and submitting the online form. For your convenience, a Word document copy of the application is available for download. (Click here to download.) However, only applications submitted through the online portal will be accepted.

Note: If you are experiencing technical difficulties and cannot submit your application online, please forward your complete responses to all of the required fields in an MS Word document or PDF file to sproft@womenetics.com.

* = Required Field

Nominee Information

Nominee Name *

Nominee Title *

Nominee Company *

Nominee Work Address *

Nominee Work City,
State, Zip Code *

Nominee Telephone
(business) *

Nominee Home Address *

Nominee Home City,
State, Zip Code *

Nominee E-Mail *

Nominee Assistant (if applicable)

Assistant's E-Mail and phone

Nominee Website

Nominator Information

Nominator Name *

Nominator Title *

Nominator Company *

Nominator Work Address *

Nominator Work City,
State, Zip Code *

Nominator Telephone (business) *

Nominator E-Mail *

What is your relationship with the nominee? (former boss, co-worker, etc.) *

How long have you known the nominee? *

How did you find out about this opportunity? *

Questionnaire

1. Describe why your nominee is a force of nature in her workplace and/or how she has made an outstanding contribution to her company. Be specific. *

2. How has the nominee demonstrated her ability to navigate obstacles, surmount challenges and lead others to reach new ground? *

3. Provide an example of how the nominee has empowered women in her workplace and illustrated a global view of women in business. What kind of ripple effect has this had on the company and/or the community? *

4. Please share any additional personal qualities or achievements that make your nominee a particularly compelling candidate for a POW! Award. *

5. Please provide a 250-word bio of the nominee that highlights her career achievements and/or community involvement. *

Endorser Information

Please list two additional individuals who endorse this nominee for a POW! Award *

Endorser 1 Name *

Endorser 1 Title *

Endorser 1 Company *

Endorser 1 Telephone (Business) *

Endorser 1 E-Mail *

Endorser 1 Work Address *

Endorser 1 Work City,
State, Zip Code *

Endorser 2 Name *

Endorser 2 Title *

Endorser 2 Company *

Endorser 2 Telephone (Business) *

Endorser 2 E-Mail *

Endorser 2 Work Address *

Endorser 2 Work City,
State, Zip Code *

Joomla Professional Work

Eligibility Criteria

Instructions to Nominators

Nomination Form

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