2021 ATHENA Nomination

2021 ATHENA Nomination Form

The ATHENA Award is presented to a selected individual who has achieved excellence in his/her business or profession, has served the community in a meaningful way, and has assisted women in reaching their full potential. Presented by Chambers Worldwide, it has been presented locally since 1988. The recipient will be announced at a virtual event hosted by the Shiawassee Regional Chamber of Commerce on March 25, 2021 at 6pm. The recipient will then be honored at our Annual Dinner meeting, with a date TBD.

The Shiawassee Regional Chamber ATHENA Award is proudly sponsored by the Schluckebier Hood Wealth Management Group of Stifel.

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NOMINATOR'S Name *

First

Last

Address *

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City

State

Zip Code

Country

Email *

NOMINEE's Name *

First

Last

Address *

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City

State

Zip Code

Country

Email *

BUSINESS ACCOMPLISHMENTS- List special recognitions, projects and achievements. Include business-related affiliations, directorships, trusteeships or other designations. *

COMMUNITY SERVICE- Describe local, county, and state level participation, length of service and offices held in civic and service organizations, charitable activities, political pursuits, religious groups, chambers of commerce, merchant’s associations, etc. *

ASSISTING WOMEN IN REACHING THEIR FULL LEADERSHIP POTENTIAL- Please provide specific examples of how the nominee has demonstrated support for the advancement and leadership development of business and professional women. *

OTHER MEMBERSHIPS, ACHIEVEMENTS, AWARDS PUBLICATIONS- Nominees may already have been honored for service to their profession, industry or community. They also may have publications to their credit or articles published supporting their service to their profession, industry or community. Please list awards and honors received which support this nomination. *

ADDITIONAL INFORMATION PERTAINING TO CRITERIA-Discuss briefly any additional factors you feel are important for the consideration of your nominee for the ATHENA Award. *

SUBMISSION DEADLINE: Friday, February 26, 2021 – 4:00 pm

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