Top CEOs Submission

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Top CEO Submission Form

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Nominator Name(Required)

First Last

Nominator Relationship to Nominee(Required)

Nominator Email(Required)

Nominator Phone Number(Required)

Nominee Name(Required)

First Last

Nominee Email(Required)

Nominee Phone Number(Required)

Nominee's Company(Required)

Nominee's Position(Required)

How did the nominee arrive at this position? Please describe their education, degrees, certifications, etc., significant prior employment, and years at present company.(Required)

Describe the current team's successes while the nominee has been there as a lead, including success in previous roles if applicable - include information on revenue, personnel, and major accomplishments during this time.(Required)

What is the nominee's focus in leading their organization? How have they influenced their company culture?(Required)

How has the nominee strived to make a difference in their community or industry?(Required)

Please include any supplemental information here: