2024 Emerging Leader Finalist Application (Nomination Deadline: May 5, 2024)

1. Please give us your contact information below:

Name:

Address 1:

City/Town:

State/Province:

ZIP/Postal Code:

Email Address:

Phone Number:

2. By responding affirmatively to this question you agree to the following:

Traveling to Dallas, Texas on the morning of August 7th and staying until the morning of August 11th (the full duration of the 24th Annual eWomenNetwork Business Conference and Expo)

Maintaining an active relationship with your local eWomenNetwork Chapter for one year after the Conference

Please choose an option below:

Yes, as an Emerging Leader finalist, I confirm that I accept my nomination as a finalist for the Emerging Leader of the Year Award and agree to the provisions outlined above.

No, as an Emerging Leader finalist, I must decline my nomination as a finalist for the Emerging Leader of the Year Award.

Travel and On-stage Introduction Details

3. In order to book your travel arrangements, please complete the necessary information below:

Name EXACTLY as it appears on your travel ID (Driver’s License or Passport):

Date Of Birth (MM/DD/YYYY):

Your Cell:

Flight City/Airport:

Window/Aisle Seat:

4. We will provide a shared hotel room (you will be paired with another Emerging Leader finalist). Should you choose to bring someone such as a parent, spouse or friend to share the experience with you, eWomenNetwork Foundation will be cover the cost of ½ of your hotel room, and you will be responsible for covering the other half of the room charge and the expense(s) of your guest.

So we can make proper room reservations, please let us know if you are planning to bring a guest with you.

I am attending alone and will be sharing with another Emerging Leader finalist.

I am attending and bringing a guest to share the experience. I will cover 2 nights' room charge.

I am not sure yet. (You will need to let us know your final decision no later than June 8 or we will automatically room you with another Emerging Leader)

Comments:

5. Please submit a 30-word introduction. This introduction will be used during the Femtor Awards when you are introduced on stage.

Please submit a photo (photo requirement - A high resolution headshot {minimum 300 dpi}) to: Foundation@eWomenNetwork.com.

6. If selected as the Emerging Leader of the Year, what additional information would you like to be shared? This will be used to announce the winner during the Femtor Awards. Maximum 50 words.

7. Please let us know below if you have any type of food allergy, so we can inform the hotel staff to be prepared for the Emerging Leader dinner. (Please note: During the Conference, you will need to inform the hotel staff during food sessions that you have special food requirements.)

8. Since we will be announcing your name on stage, please spell out your full name the way you would pronounce it (example: Gens Johnson - Jens John-son)

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