Nomination Form

Using the form below please fill in all the fields for your own details and also the nominees. Also state in no more than 350 words why the nominee has been outstanding in their field.

Your Details

*

Your Address*

Your Job title*

Your Postcode*

Your Organisation*

Your Telephone*

Your Email*

 

Nomination Details

Name of nominee:

of nominee *

Nominee's Address*

Nominee's Job title*

Nominee's Postcode*

Nominee's Organisation*

Nominee's Telephone*

Nominee's Email*

Categories:

(You may enter as many categories as you wish)

Young Entrepreneur sponsored by Aston Business School

Women’s Champion

Network of Networks

Network Member of the Year

Woman in Finance

Corporate Leader

Woman in Engineering / Technology

Woman in Property / Construction

Leadership in the Community
sponsored by Birmingham City Council

(350 words max to include any testimonials)