Nomination Form

Please complete and submit the nomination form by the newly extended deadline of February 24. If you have any questions, please contact Gavin Souter, gsouter@businessinsurance.com
 

• Nominee First Name :
• Nominee Last Name :
• Email :
• Job Title :
• Company :
• Age on June 1, 2023 :
• Years in current job sector:
• Years in current position :
• Principal professional responsibilities :
• Firm's website :
• LinkedIn profile (if available) :
• Primary work address :
• Region (please specify Northeast, Midwest, South or West. “United States” or “Nationwide” is NOT acceptable.):

 

Overview. Write a brief essay (limit 3,500 characters/~500 words) in the space below that tells the judges about the nominee, please be specific as to accomplishments.

 

Client service. Describe the nominee’s client service skills – internal or external clients (limit 3,500 characters/~500 words).

 

Expertise. Describe the nominee’s expertise in his/her field of operations, including professional accreditations, educational accomplishments, details of any products of services developed (limit 3,500 characters/~500 words).

 

Leadership. Describe the nominee’s leadership qualities and achievements, including career history and managerial experience (limit 3,500 characters/~500 words).

 

Recommendations. Provide three (3) recommendations from clients, managers and/or co-workers. Recommendations may be either a brief written letter or contact information so judges may contact references of those candidates who have reached the final stages.

 

Recommendation 1

• Name:
• Email:
• Phone:
• Title:
• Company:
• Recommendation Letter Attachment : Remove

 

Recommendation 2

• Name:
• Email:
• Phone:
• Title:
• Company:
• Recommendation Letter Attachment : Remove

 

Recommendation 3

• Name:
• Email:
• Phone:
• Title:
• Company:
• Recommendation Letter Attachment : Remove

 

Person completing this nomination:

• First Name :
• Last Name :
• Email :
• Phone :
• Title :
• Company :