Nomination Form

In May, Virginia Lawyers Media will honor high-achieving women across the commonwealth.

The Influential Women of Virginia awards will recognize the outstanding efforts of women in all fields, including law, business, health care and education. The honors are given to individuals who are making notable contributions to their chosen professions, their communities and society at large. Their energy, ideas, achievements and commitment to excellence and progress give us a look to the future.

To submit a nomination, please fill out the information fields on this form. Self-nominations are accepted.

The deadline for submissions is Feb. 25, 2013.

Influential Women of Virginia 2013

Nomination Form
Name of Nominee
FirstLast
Title
Name of Business/Organization
Business Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Phone
Email
Education (dates/type of diplomas, degrees, technical training)
Business accomplishments (job responsibilities, special projects, business-related affiliations)
Community involvement (nonprofits, civic, state and national organizations)
Achievements and awards
Supporting Documents (optional)
Please upload any supporting material (articles about the nominee, resume, etc.) via the forms below. Additional material may be sent to denise.woods@valawyersmedia.com.
Upload file(s) from computer
Submitted by
Name
FirstLast
Title
Name of Business/Organization
Phone
Email

Nomination Form

Influential Women of Virginia 2013

Nomination Form

Supporting Documents (optional)

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