Due to some technical errors on the submission form, we are asking that applicants be submitted in word processor document form to email@example.com. We apologize for the errors with the online submission form and have our technical team working on resolving the issue. We thank you for your understanding and support!
Name of Nominee:
Title and Name of Organization:
Category of Business, choose either: Communications/Technology, Infrastructure/Development, Energy/Environment, Retail, Services, Not-for-profit, Other
Comment upon the nominee’s:
Your contact information