Luminary Awards - Nominee Finalist Form - West Shore Chamber of Commerce

Luminary Awards – Nominee Finalist Form

Luminary Awards - Nominee Finalist Form

This information will be used to promote you in our publications, on social media, and in the event program. If you have any questions as you fill out this application, please email Krystin Blauch at krystin@wschamber.org.

"*" indicates required fields

Name*

First Last

Award Ceremony Details

Phonetic spelling of your name (for announcing during awards ceremony)*

ie. KRIS-TIN BLOU-K

Name as you would like it to appear in print/on award:*

Your name will be used in all print media, website, social media and on the physical award. (ex. James P. Smith, Esq.)

Your 250-word biography:*

(This information will be used in the event program, in event blog posts, and in any print ads)

Nonprofit Beneficiary Choice*

Please choose a Chamber member nonprofit from the dropdown that you would like a portion of the event proceeds to go to if you were to be a recipient of one of the awards.

Reason For Choosing Nonprofit Above:

Please answer the following six questions as we will be using these answers in our social media marketing, blog, as well as at the luncheon when presenting the nominees at the podium: 1. Who is a woman of influence in your life, and how did she impact you?

2. Who has been your biggest support and how have they helped shape you professionally?