Nomination - test - Enable Role Models

Make a Nomination for the Enable Role Model List

Anyone can nominate a potential Role Model for the Enable Role Model List.

The List will celebrate 50 amazing Role Models who are leveraging their personal experiences with disability, neurodiversity, or mental health to break down barriers for others in the workplace.

To make a nomination you will need to provide us with your Role Model’s business email address. When the nomination form is complete, we will notify them by email that they have been nominated as a Role Model and give them instructions on how to submit their application for judging.

Who are you nominating?(Required)

Myself

Someone else

Nominee's details:

1. Please give us the first name of your nominee:(Required)

2. Their last name:(Required)

3. Please give us the email address of your nominee:(Required)

4. What is your nominees job title?(Required)

5. Which company does your nominee work for?(Required)

6. What is the location of your nominee?(Required)

7. Would you like your nominee to know that you nominated them? Please delete the choice you do not want.(Required)

Yes

No, remain anonymous

8. Would you like to include a note to explain why you have nominated your nominee? Please delete the choice you do not want.(Required)

Yes

9. If you answered ‘Yes’ above, please provide a note for your nominee explaining why you believe they deserve to be featured as an Enable Role Model.

Your details:

1. Your first name:(Required)

2. Your last name:(Required)

3. Your email address:(Required)

4. Your job title:(Required)

5. Your company:(Required)

Newsletter-self

Your personal information will only be used for the purposes of the Enable Role Model List nominations process. The data will not be shared with any other parties and will be deleted following the publication of the Lists. However, if you would like to continue to receive updates from INvolve, please subscribe to our newsletter.

Please subscribe me to the INvolve mailing list for more information on the Role Model Lists and insights on diversity, equity, and inclusion.

Your details

Please note that if you have opted not to let your nominee know that you have nominated them, we will not include it in the email to them.

1. Your first name:(Required)

2. Your last name:(Required)

3. Your email address:(Required)

Newsletter-someone else

Please subscribe me to the INvolve mailing list for more information on the Role Model Lists and insights on diversity, equity, and inclusion.