Name of Candidate *

Company *

Phone *

Email *

Cellphone

Current Position *

Office Address *

Products or Services Offered *

Reason for Nomination *

Please attach a one-page brief detailing the candidate’s specific achievements in 2025. Provide clear and specific information on areas such as employment growth, productivity, sales or production increases, product quality improvements, operational expansion, and key steps taken to achieve these results.

Nominations will not be accepted without this brief. A resumé will not be accepted as a substitute.

20MB max

Brief Career Summary *

(Positions, firms, locations, and dates in chronological order ending with current position)

Awards and Certifications *

(Professional, public service, fellowships and grants)

Nominator Name *

Nominator Company *

Nominator Phone *

Nominator Region *

Enter required value Metro Metro East Metro West Estern Central North South West