Required Information:

All information will be published exactly as provided, so please ensure all information is entered exactly as it should appear. Nominee email and marketing contact are for questions and correspondence and will not be published.

Feature Questions:

Instructions - Please answer at least two of the four questions below and provide thoughtful answers for inclusion in the print edition. If you would like, you may answer all four — the additional response will appear exclusively online. If you choose to answer all four, please indicate your top two preferences for print in the comment box at the bottom of this form. Each response should be between 450 and 600 characters for best visual results. The ability to type will stop when maximum characters are reached.

About this Nominee:

Instructions - Please answer at least one of the three questions below to help personalize your profile. Each response should be between 50 and 100 characters for best visual results. The ability to type will stop when maximum characters are reached.

Testimonial:

Instructions - Please provide a quote/testimonial in support of this nominee from an executive leader, colleague or mentor. This response should be between 200 and 400 characters for best visual results. The ability to type will stop when maximum characters are reached.