Top 25 Women of Influence+
Awards

Nominator Name**
First Name Last Name
Nominator Email**
We may reach out to you to verify details, request additional information, or inform you if your nominee has been selected. Your email will not be shared or used for any purpose beyond this application.
Relationship to Nominee (e.g., colleague, mentor, peer, self-nomination)**
Nominee Name**
First Last Preferred Name
Nominee Email**
Please confirm nominee’s country of residence is Canada**
- I Confirm
Nominee Location**
City State / Province / Region
Nominee Industry
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Disclaimer: One (1) nomination per person is sufficient and will be reviewed. Any additional nominations will not be reviewed or considered. Only complete applications will be considered.

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