FWC » Chamber Awards » Susan Halsey Executive Leadership Award » Halsey Award Application

Susan Halsey Award Application

February 9, 2024 – Deadline for Nomination

Nominator Information

Nominator's Name *

First

Last

Title *

Company *

Email *

Phone *

Candidate Information

Leader's Name *

First

Last

Title *

Institution *

Email *

Phone *

Abbreviated Biography or Curriculum Vitae

Limited to 500 words. If you would like to upload a full Bio or CV instead, then use the upload box below and type in See Attached in this text box

Upload a Bio or CV

Click or drag a file to this area to upload.

Accepted file types: doc, docx, pdf

Address

Address Line 1

City

State

Zip Code

Upload a Photo of the Candidate

Click or drag a file to this area to upload.

Accepted file types: jpg, png, pdf

Candidate's Award Qualifications

Advancement & Innovation *

Describe how the nominee used innovation to accelerate growth within the organization.

Inspiring & Mentoring *

Describe how the nominee inspired others within the organization by creating a vision and fostering a team environment.

Community Involvement *

Describe how the nominee helped the community engagement of the organization by increasing diversity, environmental impact or overall support within the community.

Endorsement Letters

Please be sure to also upload a Letter of Endorsement below

File Upload *

Click or drag files to this area to upload. You can upload up to 4 files.

Accepted file types: doc, docx, pdf.
8 MB max file size for each file

Susan Halsey Award Application

Nominator Information

Candidate Information

Candidate's Award Qualifications

Endorsement Letters

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