Nomination Form
Please select the event you would like to submit a nomination for:
(Required)
Executive Excellence
Nominee Information
Is this a self-nomination?
(Required)
Yes
No
Full Name of Nominee
(Required)
First
Last
Nominee’s county of residence
County of Residence
Brown
Calument
Door
Florence
Fond du Lac
Green Lake
Kewaunee
Manitowoc
Marienette
Marquette
Menominee
Oconto
Outagamie
Shawno
Sheboygan
Waupaca
Waushara
Winnebago
Not Sure
Pillar of Excellence (select one)
(Required)
Financial Strategy & Excellence
Talent & Culture Leadership
Operational Innovation & Efficiency
Technology & Digital Transformation
Nominee’s Job Title:
(Required)
Nominee’s Organization Name
(Required)
Organization Website
How long has the nominee been employed with their current organization
(Required)
Nominee’s Email
(Required)
Nominee’s Phone Number
(Required)
Link to nominee’s bio and/or LinkedIn page
Nominator Information
Tell us about yourself.
Name
(Required)
First
Last
Relationship to Nominee:
Email
(Required)
Phone
(Required)
Would you like to stay anonymous as the nominator?
Yes, please keep my name anonymous
No, you can tell them I nominated them.
Reason for Nomination
Please list civic and/or nonprofit organizations with which the nominee is involved. List multiple by clearly indicating which roles the nominee served in for each.
(Required)
Why should this leader be recognized? Describe their impact on the regional economy, innovation, community leadership and/or business growth.
(Required)
What are their key accomplishments? Include recent achievements, awards, milestones or initiatives to which they've contributed.
(Required)
Pillar‑Specific Impact
How has this leader strengthened financial performance, governance, or long‑term fiscal health?
(Required)
How has this leader shaped culture, talent strategy, leadership development, or employee engagement?
(Required)
How has this leader improved processes, scalability, efficiency, or operational resilience?
(Required)
How has this leader leveraged technology or digital strategy to enable growth, innovation, or competitive advantage?
(Required)
Why are you nominating this person for the Executive Excellence Award?
(Required)
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