Be Better Awards – Indianapolis Business Journal

Nominee’s Name *

First

Middle or Maiden Name

Last

Nominee’s Company Name *

Nominee’s Title *

Nominee’s Work Email *

Nominee’s Personal Email

Nominee’s Business Phone

Nominee’s Personal Phone

Nominee’s City

Nominee’s Industry *

Nominee’s LinkedIn

How has this individual been impactful in the community? Please give specific examples. *

Is the person influential in a particular industry, in a community, statewide or in some other way?

In what other ways is this nominee involved in the community? (Volunteer work, board service, philanthropy, partnerships or in-kind work)

Tell us anything else you think is important.

Please submit up to three letters of recommendation in PDF form.

You may also upload a single PDF containing other materials (news coverage, resume, program materials, etc.).

Nomination Information

Company or organization submitting the nomination *

Name of the individual submitting the nomination

Organization’s relationship to the nominee

Nominator’s Email

Nominator’s Phone

I certify that the leaders of this organization support this nomination. *

I understand that if my nominee is chosen as a winner, information in this nomination and attachments could be used in a write-up about the individual. *