CLEO AWARDS NOMINATION FORM

Your Name (the person doing the nominating)

Email Address

Who are you nominating?

Where does your nominee work?

Nominee's Contact Information (please provide phone and email)

Why are you nominating this person?

For which award would you like her considered? (choose all that apply) For which award would you like her considered? (choose all that apply) CLEO Inspire Award CLEO Non-Profit Trailblazer Award CLEO Dream Builder Award CLEO Champion of Women Award Jo Bethea Spirit of the Community Award