ATHENA International: Professional businesswomens organization dedicated to leadership initiatives for women.

Chicago ATHENA Award - Nomination Form

INSTRUCTIONS
To submit a candidate for consideration to receive the Chicago ATHENA Award please complete the form below.

THE CRITERIA
ATHENA Recipients must meet each of the following three criteria:

Demonstrate excellence, creativity and initiative in their business or profession
Provide valuable service to improve the quality of life for others in their community
Assist women in reaching their full leadership potential.

THE PROCESS
The selection committee comprised of a diverse group of leaders from the Chicagoland area will determine the Recipient. The Recipient will be announced at the Chicago ATHENA Award Luncheon on Monday, November 5.

Click here for a printable form

Nominee

	Name
	Home Address
	City
	State/Province
	Zip/Postal Code
	Phone
	E-mail
	Company/Organization Name
	Title/Position
	Company Address
	City
	State/Province
	Zip/Postal Code
	Work Phone
	Business E-mail

Nominator

	Your Name
	Company/Organization
	Business Address
	City
	State/Province
	Zip/Postal Code
	Phone
	E-Mail

I. Professional Leadership
Provide specific examples of how the nominee has demonstrated excellence, creativity, and initiative in their business or profession.

II. Community Service
List local, state, national and international level participation. Include length of service and offices held in civic and service organizations such as charitable activities, political pursuits, religious groups, chambers of commerce, merchants' associations, etc.

III. Personal Leadership
Provide specific examples of how the nominee has assisted women in reaching their full leadership potential, and/or demonstrated support for their professional advancement.

Additional Information Pertaining to Criteria
Include any additional information you feel is important for consideration of your nominee. List awards, honors received, publications or articles supporting service to their profession, industry or community.