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MoXY Nomination Form: Nominate a Man in Business

NOMINATE A MAN IN BUSINESS TODAY! NOMINATE AN ORGANIZATION TODAY! About the MoXY Awards Past Honorees Emcee & Committee

PLEASE NOTE: The MoXY Awards is a fundraising event to fund our programs. Honorees will be provided with a list of sponsorship packages to support our nonprofit at this fundrasing event. Our mission is made possible only through the support of our generous private donors. Honorees and attendees are encouraged to support our mission through sponsorship and ticket sales and to help us reach our goal.

If your nominee is selected, both the honoree and the nominating individual must attend the June 5 networking and awards celebration. Ticket, advertising and sponsorship information will be shared with honorees and nominators.

There is still time to nominate during our vetting process which is happening now!

Our Selections Committee will then reach out to the nominating woman and her three references and interview each.  Nominators and references should be able to speak to the nominee's advancement of women in the workplace. 

 

Sponsorship information available soon! Check back later for future updates. 

Nominate an Individual

Nominator Info

First Name:*
Last Name:*
Company Name:*
Title:*
Address:*
City:*
State:*
ZIP Code:*
Email Address:*
Office Phone:*
Mobile Phone:*

Nominee Info

First Name:*
Last Name:*
Relationship to Nominator:*
Company Name:*
Title:*
Address:*
City:*
State:*
ZIP Code:*
Email Address:*
Office Phone:*
Mobile Phone (optional):
How has the nominee advanced your career and/or that of other women? Please provide specific examples:*

Please list as least two other women who may be contacted as a reference in connection with this nomination.

Direct reports and relatives of nominee are NOT appropriate references.

Reference 1

Name:*
Company:*
Phone:*
Email:*

Reference 2

Name:*
Company:*
Phone:*
Email:*

Reference 3

Name:
Company:
Phone:
Email:
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