Official Nomination Form
Go Online to www.businessinedmonton.com/leaders Submissions Directions: Please complete the application in its entirety. Send the form via email to leaders@businessinedmonton.com; fax to 587.520.5701; or mail to us at: Suite 1780, 10020 - 101 A Ave. NW, Edmonton, AB T5J 3G2. For further information on the Leaders program please contact 1-800-465-0322.
Eligibility: All nominees must own, be a partner, CEO, or President of a private or public company, and be a primary stakeholder responsible for the recent performance of the company. In addition, the nominee’s company must be Edmonton-based and have been in existence for a minimum of three years. Judging Panel and Criteria: The independent panel of judges will consist of a selection of successful business leaders from the community. The judges will analyze an extensive list of criteria that will include finances, strategic direction, product or service innovation, company leadership (including personal integrity, values and key employee initiatives), community involvement and philanthropic activities.
Nominee
Nominee’s Name:
Print or Type Only Please
Business Address:
Title: Company Name: General Company Phone:
City:
Province:
Postal Code:
Company Website: Nature of Business:
Nominee’s Phone:
Nominee’s Email:
Assistant’s Name: Assistant’s Phone:
Assistant’s Email:
Has Nominee previously been nominated for Consideration? Yes / No Year(s): For any questions or follow up related to this information; please designate a contact, or confirm nominee or assistant as primary contact.
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