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Nomination Form
Deadline: Friday, 1 April 2022
Company
*
About you (senior representative of company)
Your name
*
First Name
*
Last Name
*
Your department
*
Your job title
*
Your work email address
*
About the nominee
Nominee's name
*
First Name
*
Last Name
*
Nominee's work email address
*
Nominee's job title
*
Nominee's department
*
Describe the nominee's job responsibilities in detail (optional: attach nominee's CV and/or job description below).
*
How many direct reports does the nominee have?
*
Focus area: under which award priority does the nominee's achievement fall?
*
Climate and environment
Health
Innovation
Inclusive insurance
Diversity, equity and inclusion
Other:
Other Value
Describe the nominee's achievement that has made a positive impact on society and for which she is being nominated. Please provide quantitative details as much as possible.
*
Nominee's colour photo for our slideshow of 2022 award candidates (optional) (previous slideshow: bit.ly/WIA-nominees-2020 )
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Additional attachments
REQUIRED: Official letter of recommendation from company. This should include as much data as possible to support the nomination, e.g. figures on how much revenue the nominee generated through her initiatives, etc.
*
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Nominee's CV or biography
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Job description
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Additional references
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I agree with the Data Use and Privacy Policy.
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