Women of Influence Nomination Form Please complete this form on or before March 21, 2022. You may submit up to 3 nominees.Your Name(Required) Your Email(Required) Your Phone Number(Required) Nominee Name(Required) Nominee Corporate Title(Required) Nominee Company Name(Required) Nominee Email(Required) Nominee Phone Number(Required)The below contact information will only be used for The Shelby-Griffin Report staff to notify your nominee(s) (and their employer) of her nomination.Nominee Supervisor's Name(Required) Nominee Supervisor's Email(Required) Nominee Supervisor's Phone Number(Required)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) What type of business is your nominee's employer?(Required) Retailer Wholesaler/Distributor Supplier/Vendor/Solutions Provider/Sales & Marketing Agency Association Nominee Qualifications(Required)Please provide a 2500 maximum character description (about 550 words) about why your nominee is qualified for this recognition. This could be related to her results-oriented job performance, exemplary leadership skills and civic and philanthropic work.The Shelby-Griffin Report will highlight each honoree in a special editorial spotlight in the Women of Influence in the Food Industry feature in all five May 2022 regional editions. To see the 2021 Women of Influence honorees from The Griffin Report of the Northeast, click here.If you have any questions please reach out to: Stephanie Reid, President and Publisher Phone: 678-520-4949 Email: [email protected]CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Δ
