Nominations 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) *