2016 Man & Woman of the Year
Official Nomination Form
 
*Please submit a separate form for each nominee.

Nominator Information

Potential Candidate Information

Does this candidate own this business? *
 
Preferred method of contact? *
 
In which campaign would this potential candidate compete? *
What is your relation to this potential candidate? Please check all that apply. *
 
Does this person have prior knowledge of MWOY?
 *
Does this nominee have high school aged children? *

The following are the traits of high impact candidates. Please carefully consider these qualities as they pertain to the nominee and provide examples for each category.

Connected- Mission: Has a personal connection to the LLS mission, personally touched by cancer, and/or has a committed/vested interest in scientific research and patient care. *
Professionally Influential: Serves in a leadership position in their profession (owner, executive, senior management). Influences array of employees and other businesses stakeholders (e.g., suppliers/vendors). *
Willing to Ask: Likely comfortable reaching out to their network with a request or solicitation on behalf of LLS. *
Well Organized: Demonstrates success through effectively managing time and priorities. Knows how to get stuff done, often by enlisting help from others (delegating). *
Motivated: Demonstrates strong level of commitment in their endeavors and willing to make them a priority. *
Competitive: Exhibits a competitive spirit and will work hard to win. Driven. Wants to be associated with competing and winning. *
Team Support: Has access to professional and personal support. Could be employees, professional colleagues, family members, friends. Exhibits qualities of a team player. Does whatever it takes to help a team accomplish a collective goal. *
Communicative: Values other opinions, open-minded to new ideas, willing to take advice. Demonstrates success through effectively managing time and priorities. Knows how to get stuff done, often by enlisting help from others (delegating). *
Creative: Has displayed an interest in trying new things and has been creative with previous fundraising exploits or projects. *
50K Factor Can you envision this person raising at least $50,000 and obtaining the ability to attach their name or a loved one's name to a Research Grant? *

Nomination Meeting

Are you willing to make first contact with this potential candidate should they be selected as an official nominee? *
Are you willing to attend a nomination meeting to introduce this potential candidate and LLS Staff? *
If so, what time of day is best for you to meet? Please check all that apply.