Emerging Leaders Nomination Form Emerging Leaders Nomination Form Nominations are CLOSING SOON for Shelby Publishing’s Emerging Leaders awards program, which will recognize the next generation of leaders in the retail food industry – including retailers, wholesalers, distributors, suppliers/vendors and solutions providers.This awards program will also honor all leaders in diversity and inclusion under the human resources umbrella.Shelby will recognize all emerging leaders from all sectors of the retail food industry. Entries must detail the nominee’s exemplary commitment to the following:– Their career in retail grocery and dedication to solving problems and implementing solutions that maximize their customers’ shopping experience.– Demonstrated leadership qualities that truly motivate others to do their very best in their daily tasks.– Community service work that produces results in the neighborhoods they serve.The Emerging Leaders awards special section will be featured in Shelby Publishing’s September issues.Nominations closing soon!You may submit up to 6 nominees.Your Name(Required) Your Title(Required) Your Company(Required) Your Company Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip / Postal Code Your Email(Required) Your Phone Number(Required) Who are you nominating? (Choose one)(Required) I am submitting a nomination on behalf of my company/employer. I am submitting a nomination on behalf of a business partner with whom I work. NOMINEE INFORMATIONNominee Name(Required) Nominee Title(Required) Nominee Company(Required) Nominee Company Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip / Postal Code Nominee Email(Required) Nominee Phone Number(Required) What type of business is your nominee's employer?(Required) Retailer Wholesaler/Distributor Supplier/Vendor/Solutions Provider/Sales & Marketing Agency Association What is your nominee's job function?(Required) Human Resources – all functions including Diversity and Inclusion Corporate Executive – all functions Regional Managers Store Level Managers What region is your nominee's corporate headquarters located?(Required) West (AZ, CA, ID, MT, MV, OR, UT, WA & WY) Southwest (AR, CO, NM, OK & TX) Southeast (AL, FL, GA, KY, LA, MS, NC, SC, TN, WV & VA) Midwest (ND , SD, NE, KS, MO, IA, MN, WI, MI, IL, IN & OH) Northeast (CT, DE, ME, MD, MA, NH, NJ, NY, PA, RI & VT) Nominee Qualifications(Required)Please provide a 2500 maximum character description (about 550 words) detailing your nominee’s demonstrated accomplishments. Please note that if your nominee wins, this is the description that will run in The Shelby-Griffin Report September issues.May we contact you, the person submitting this nomination form, for additional information or for an interview to support the individual you are nominating?(Required) Yes No If no, please list the key contact person with whom we should work if we have questions about your entry.Name: Email: Phone Number: Please upload 1-2 high resolution photos to support your nomination.(Required) Drop files here or Select files Accepted file types: jpg, jpeg, png, pdf, Max. file size: 8 MB, Max. files: 2. CAPTCHAIf you have any questions please reach out to: Stephanie Reid, President and Publisher Phone: 678-520-4949 Email: [email protected] PhoneThis field is for validation purposes and should be left unchanged. Δ Oops! We could not locate your form.
