TWIN nomination form
2008 Tribute To Women & Industry

You are invited to nominate a woman to be considered for selection of the 2008 TWIN Award. Nomination deadline is Friday, May 2nd, 2008.

Successful candidates will meet the following criteria:

• Nominee must occupy a management, executive or professional position with responsibility for a major component of your organization or a position traditionally held by men within your organization.
• Nominee must have made an outstanding achievement within your organization, exceeding the normal scope of her position.
• Nominee and your company must agree to provide the information requested on the nomination form. Each honoree will be photographed by a professional TWIN photographer for inclusion in the TWIN Souvenir Booklet.
• A candidate can only be nominated once by the same organization.
  The TWIN selection committee will review each nomination. You will be notified in May whether or not your nominee has been selected as a 2008 TWIN Honoree.

Required fields are marked with *

Nominee
Nominee Name *
Job Title *
Company Name (if using work address) *
Business Address *
City *	Zip *
Phone   ( Home   Work) *	Fax
Email *
Home Address *
Company Information
Local CEO Name *
CEO Title *
Company Name (if different from above) *
Company Address (if different from above)*
City *	Zip *
TWIN Contact Person Information
Name *
Title *
Company Name (if different from above) *
Company Address (if different from above)*
City *	Zip *
Phone   ( Home   Work) *	Fax
Email *
Nominee Employment Profile
Describe the nominee's primary job responsibilities, indicating her managerial, executive or professional duties:*
What outstanding achievements, exceeding the normal scope of responsibilities, has the nominee accomplished for your company/ organization? Please be specific:*
List community activities, involvement in professional associations and hobbies:*
Length of time at company*
Length of time at present position *
Company Profile
Company name (as it should appear in all publicity)*
Approximate number of employees*
Please submit a description of your company, in 35 words or less, as you would like it to appear in the TWIN program booklet: *
Nomination Form Submitted By
Name *
Title *
Phone   ( Home   Work) *
Email *
Please type in the graphic code as you see it (click graphic if it is not legible)*
Note: Please print this page before submitting so you will have this information for your records. Thank you.