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2020 ATHENA Nomination Form

The ATHENA Award is presented to an individual (male or female) who demonstrates excellence, creativity and initiative in his or her business or profession, provides valuable service by contributing time and energy to improve the quality of life for others in the community (St. Joseph County, Ind.) and actively assists women in realizing their full leadership potential.

View List of Previous ATHENA Award Recipients.

Online submissions only. No additional documents will be accepted. For questions, contact Shari Carroll, 574.400.4024.

Nomination Deadline: December 9, 2019

*Indicates required information

*Nominator's Name
*Nominator's Company/Organization
*Nominator's Company/Organization Address
*Nominator's Company/Organization City, State, ZIP
*Nominator's Phone Number
*Nominator's Email
*Name of Person You Want to Nominate
*Nominee's Address (work or home)
*Nominee's City, State, ZIP (work or home)
*Nominee's Phone Number (work or home)
*Nominee's Email (work or home)
*Nominee's Current Professional Title/Position
*Professional Achievements: Provide specific examples of how the nominee has demonstrated excellence, creativity and initiative in his or her business or profession.
*Community Service: List local, state, national and international 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.
*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 supporting service to the nominee's profession and work with women to help them advance.