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LLS Of the Year Candidate Nomination Form
All information is confidential and will not be shared publicly. The information may be discussed among the leadership teams. Please remember to think objectively about your nominees.
NOMINEE INFORMATION
Name:
*
Company Name:
*
Title l:
*
City:
*
Email Address:
*
Phone:
*
COMMITMENT LEVEL
Is this prospect well connected? Do they have a wide, multilayered network in the community, with access to high-level decision-makers or contacts? Are they actively involved in the community?
High - Strongly describes the prospect
Medium - Somewhat describes the prospect
Low - Does not describe the prospect
Unknown - Unsure if trait describes prospect/not able to answer
Does this prospect have a mission connection? It could be a blood cancer connection or a cancer connection in general.
High - Strongly describes the prospect
Medium - Somewhat describes the prospect
Low - Does not describe the prospect
Unknown - Unsure if trait describes prospect/not able to answer
Will this individual be willing to ask people to support their campaign?
*
High - Strongly describes the prospect
Medium - Somewhat describes the prospect
Low - Does not describe the prospect
Unknown - Unsure if trait describes prospect/not able to answer
Additional thoughts or things to know about the prospect.
Please enter your name and email
*