Women of Influence Nomination Form

Who are the most influential women in metro Indianapolis?

On October 31, 2013, Indianapolis Business Journal will spotlight some of our city's most successful business women from both the public and private sectors while revealing the triumphs and challenges that have shaped their careers. These powerful women will be honored at a breakfast, and profiles of the winners will be featured in a special supplement to be published November 4.

You can help us identify who should be recognized by considering women within your own business or those on not-for-profits boards on which you serve.

The deadline for nominations is September 20, 2013.

We're looking for women who:

• are influential in their company or industry.

• have a solid reputation within their company or industry based on their experience, integrity and leadership.

• have a track record of accomplishment.

Questions? E-mail Patty Johns at pjohns@ibj.com or call (317) 472-5319.

Nominee's Name: Enter the nominee's name.

Company: Enter the nominee's company.

Address: Enter the nominee's address.

E-mail: Enter the nominee's e-mail address.Enter the nominee's e-mail address.
Business Phone: Enter the nominee's phone number.

Nominee's Assistant:

Assistant's Phone:
E-mail:

Nominator's Name: Enter the nominator's name.
Nominator's Phone: Enter a phone number.

Nominator's E-mail: Enter the nominator's E-mail address.

Nominator's relationship to the nominee: Enter the nominator's relationship to the nominee.

Please address the following categories

Nominee's Educational Background: Enter the nominee's educational background.(college attended)

Professional excellence: list specific business accomplishments demonstrating excellence in her field

Leadership: list specific examples of how she has demonstrated leadership

Vision: offer examples of how nominee has demonstrated vision as a leader

Community service: describe community involvement

Mentoring: give examples of how she has mentored others

Additional background: send any additional information that may help us make a decision, including a current resume, a personal biography and/or articles.

Enter the nominee's name.
Enter the nominee's company.
Enter the nominee's address.
Enter the nominee's e-mail address.
Enter the nominee's e-mail address.
Enter the nominee's phone number. Enter the nominator's name.
Enter a phone number.
Enter the nominator's relationship to the nominee.
Enter the nominator's E-mail address.