| Mr./Mrs./Ms. |
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| Nominated for |
Professional Excellence
Community Service |
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Home Phone:
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E-mail:
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| Please complete the following information: |
ASSISTS WOMEN IN REACHING THEIR FULL LEADERSHIP POTENTIAL:
Provide specific examples of how the nominee has demonstrated support for the advancement and leadership development of business and professional women.
You can type or paste as much info as you feel necessary in the this box.
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PROFESSIONAL ACCOMPLISHMENTS:
List special recognitions, projects, and achievements. Include professional affiliations, directorships, trusteeships or other designations.
You can type or paste as much info as you feel necessary in the this box.
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COMMUNITY SERVICE:
Describe local, state and national level participation, length of service and offices held in civic and service organizations, charitable activities, political pursuits, religious groups, chambers of commerce, merchants’ associations, etc.
You can type or paste as much info as you feel necessary in the this box.
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OTHER MEMBERSHIPS, ACHIEVEMENTS, AWARDS, PUBLICATIONS:
Nominees may already have been honored for service to their professional, industry of community. They also may have publications to their credit or articles published supporting their service to their profession, industry of community. Please list awards and honors received which support this nomination.
You can type or paste as much info as you feel necessary in the this box.
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ADDITIONAL INFORMATION PERTAINING TO CRITERIA:
Discuss briefly any additional factors you feel are important for consideration of your nominee for the ATHENA Award:
You can type or paste as much info as you feel necessary in the this box.
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| Sponsored by: City of Indian Wells, Indian Wells Chamber of Commerce and Best Best & Krieger |
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