Nomination Form

I would like to nominate this person for the: *
 Rising Stars 
 Women in
Business 
 King of Queens 

Nominator Information
Name *
Company *
Title *
Email *
Phone *

Nominee Information
 Same as above 
Name
Company
Title
E-mail
Phone
Please attach Nominee’s Resume
Please attach Nominee’s Color Headshot
What makes this person a “Star” Nominee?

What sets him/her apart? *

Recent Accomplishments of Candidate

(Include promotions, charitable actions and other business and community contributions) *